Gynecological acute abdomen in patients age under 18:an analysis of 237 cases
10.3760/cma.j.issn.0529-567x.2018.05.004
- VernacularTitle:18岁以下妇科急腹症237例临床特点分析
- Author:
Hui LIU
1
;
Yanxin GE
;
Yanjie XIANG
;
Xiaoli ZHANG
Author Information
1. 276826,山东省日照市人民医院生殖医学科
- Keywords:
Abdomen;
acute;
Diagnosis;
differential;
Child;
Adolescent
- From:
Chinese Journal of Obstetrics and Gynecology
2018;53(5):304-307
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the constituent ratio, clinical manifestation, diagnosis and treatment of gynecologic acute abdomen in patients age under 18. Methods A retrospective study was conducted on 237 patients under 18 years old who had been admitted in Rizhao People's Hospital from June 2013 to November 2016. The patients were divided into two groups:groupⅠ(under ten years old, 49 cases) and groupⅡ(ten to eighteen years old, 188 cases). The first visit departments, constituent ratio, clinical manifestations and treatment methods of the two groups were summarized and analyzed. Results The proportion of first visit department was gynecology department in the groupⅠwas lower than that in groupⅡ[18.4%(9/49)versus 69.1%(130/188), P<0.01]. The proportion of diseases in the two groups was different;the proportion of ovarian tumors(59.2%, 29/49), genital malformations(10.2%, 5/49)and ovarian torsions (10.2%, 5/49)in group Ⅰ were significantly higher than those in group Ⅱ, while the pregnancy related diseases in groupⅡ(37.2%, 70/188)was significantly higher than that in groupⅠ(P<0.01). Conclusions Clinicians should pay enough attention to the acute abdomen caused by gynecological factors in childhood and adolescence. The differential diagnosis of acute abdomen should pay attention to. In the choice of treatment methods, we should give full consideration to the special age, and try to maintain their normal growth and physiological function.
