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幼女的小阴唇粘连并非少见,局部炎症及雌激素缺乏被认为是重要病因因素。这种情况一般是无害的,而且会在青春期自愈(Anderson1956年),但是严重病例要进行治疗以矫正排尿问题或消除父母的焦虑,有些作者现今主张局部雌激素疗法,但此法的效果不肯定。本文报道在曼谷某医院4年中所见到的25例患严重小阴唇粘连的幼女使用雌激素局部疗法的情况。病例及方法:治疗了25例幼儿,年龄在2个月至2岁间,全部病例均粘连严重,涉及到小阴唇的全长,一般在紧贴阴蒂之下保存针眼大的小孔以通过尿液,10例无症状,15例或有尿频或有排尿困难或二者兼有之,4例幼儿被看到有储留尿液从阴道
Young female labia minora adhesion is not uncommon, local inflammation and estrogen deficiency is considered to be an important etiological factor. This condition is generally harmless and self-healing during adolescence (Anderson 1956), but serious cases require treatment to correct urination problems or to eliminate parental anxiety. Some authors now claim local estrogen therapy, but the effect of this method not sure. This article reports the use of topical estrogen therapy in 25 young girls with severe labia minora seen in a hospital in Bangkok in 4 years. Cases and Methods: Twenty-five young children were treated. The age ranged from 2 months to 2 years. All cases had severe adhesions involving the entire length of the labia minora. 10 cases of asymptomatic, 15 cases of frequent urination or dysuria or both, 4 cases of toddlers were seen to have stored urine from the vagina