引起女童外阴阴道炎的原因很多。幼女阴道的粘膜薄而萎缩易发生感染,其阴道口尚未很好地受到阴唇保护,且与肛门临近,加上年幼儿童缺乏良好的卫生习惯使其更易于感染。蛲虫、便秘、粪漏及肠胃气,阴道分泌物等也可引起刺激及感染。目前,对儿童性虐待引起的外阴阴道炎的关注正在增加。作者对皇家利物浦儿童医院急诊就诊的主诉有阴遭分泌物和(或)生殖器刺激感、疼痛从出生到16岁的200名女童进行了前瞻性调查。结果发现就诊时的首发症状为瘙痒者81例,疼痛108例,出血37例,分泌物104例,102例有排尿困难,有或无尿频。体检结果:外阴部充 There are many reasons for causing vulvar vaginitis in girls. Infant vaginal mucosa thin and atrophy prone to infection, the vaginal opening is not yet well protected by the labia majora and close to the anus, coupled with the lack of good hygiene habits of young children make it more susceptible to infection. Pinworm, constipation, stool leakage and flatulence, vaginal discharge, etc. can also cause irritation and infection. At present, concerns about vulvovaginitis caused by child sexual abuse are on the rise. The authors complained of over-excretion and / or genital irritation in the main emergency room visit at Royal Liverpool Children’s Hospital. The pain was prospectively investigated from 200 births to 16 years of age. The results showed that the first symptom of treatment was pruritus in 81 cases, 108 cases of pain, bleeding in 37 cases, secretions in 104 cases, 102 cases of dysuria, with or without frequent urination. Physical examination results: genital filling