Haefner H K
Department of Obstetrics and Gynecology, University of Michigan Medical Center, Ann Arbor 48109, USA.
Clin Obstet Gynecol. 1999 Jun;42(2):184-95. doi: 10.1097/00003081-199906000-00004.
There are many problems in the diagnosis and treatment of vaginitis. Often, the patient is not examined (telephone treatment) or examined improperly with lack of attention to the wet prep. In patients with recurrent vaginitis, it should not be assumed that the current infection is the same as a previous infection without a thorough examination. At times, there is an overuse of topical steroids for all vulvar symptoms or use of antifungals for all vulvar symptoms. The various abnormalities in vulvovaginitis have unique physical findings, laboratory tests, and treatments. It should be remembered that unusual conditions of the vagina and vulva may resemble vulvovaginitis. Many vulvar conditions must be considered when a patient reports discharge and itching. It is important to remember that if the treatment is not working, reconsider the diagnosis.
阴道炎的诊断和治疗存在许多问题。通常，患者未接受检查（电话问诊治疗）或检查不当，未重视湿片检查。对于复发性阴道炎患者，在未进行全面检查的情况下，不应假定当前感染与既往感染相同。有时，对于所有外阴症状都过度使用局部类固醇或抗真菌药物。外阴阴道炎的各种异常有独特的体格检查结果、实验室检查及治疗方法。应记住，阴道和外阴的异常情况可能类似外阴阴道炎。当患者报告有分泌物和瘙痒症状时，必须考虑多种外阴疾病。重要的是要记住，如果治疗无效，需重新考虑诊断。
