Clinical Study on Pediatric and Adolescent Gynecologic Patients / 대한산부인과학회잡지

ABSTRACT

OBJECTIVES: The purpose of this investigation was to review the distribution and treatment of gynecologic disease in pediatric and adolescent patients. METHODS: Two hundred forty-four pediatric and adolescent patients were evaluated clinically, who were admitted to Department of Obstetrics and Gynecology, Chungnam National University Hospital from Jan. 1989 to Sep. 1999. RESULTS: The most common disorder was ovarian tumors(43.0%) including 78.1% of neoplastic diseases and 21.9% of nonneoplastic diseases, and followed by pregnancy-associated disorders(20.5%), infectious disorders(11.5%), congenital abnormalities(9.8%), traumas(7.4%) and miscellaneous(7.8%). Pregnancy asso ciated disorders include abortion(42%), gestational trophoblastic disease(30.0%), and ectopic pregnancy(28%). Infectious disorders include acute pelvic inflammatory disease(53.6%), hydrosalpinx(21.4%), condyloma accuminata(10.7%) and tuberculous salpingitis(3.5%). Congenital abnormalities include congenital uterine anomalies(41.7%), imperforate hymen(20.8%), male hermaphroditism(12.5%), female hermaphroditism(8.3%), pure gonadal dysgenesis(8.3%) and mixed gonadal dysgenesis(8.3%). Traumas include vulvar laceration (33.3%), vulvar hematoma(33.3%), and vaginal wall laceration(33.3%). CONCLUSION: We analyzed two hundred forty-four pediatric and adolescent patients who were admitted to Department of Obstetrics and Gynecology, Chungnam National University Hospital from Jan. 1989 to Sep. 1999. The most common disorder was ovarian tumors(43.0%) and followed by pregnancy-associated disorders (20.5%), infectious disorders(11.5%), congenital abnormalities(9.8%), traumas(7.4%) and miscellaneous(7.8%).