Edwards Quannetta Tucker, Saunders-Goldson Sherri
George Mason University College of Nursing and Health Sciences, Fairfax, VA, USA.
J Am Acad Nurse Pract. 2003 Mar;15(3):115-9. doi: 10.1111/j.1745-7599.2003.tb00267.x.
To describe the etiology, clinical manifestations, assessment, and management of vulvar lichen sclerosus (LS) in women.
Selected research and clinical articles in professional journals and online websites, peer review, educational technical bulletin from professional organization and the authors' professional clinical experiences.
Vulvar LS can manifest with varied symptoms that may mimic other common vulvar disorders such as infections. Careful assessment of the vulva and biopsy of any suspicious skin changes are needed for diagnosis and management of vulvar LS. Treatment with high-potency topical corticosteroids may alleviate uncomfortable symptoms and reduce physical changes. Follow-up management is essential to check for progressing problems such as introital stenosis and to assess for skin changes that may indicate vulvar squamous cell carcinoma.
Accurate diagnosis and successful management of vulvar LS requires thorough assessment of the genitalia, knowledge of the disorder and appropriate treatment and follow-up management.
描述女性外阴硬化性苔藓（LS）的病因、临床表现、评估及管理。
专业期刊和在线网站上的精选研究及临床文章、同行评审、专业组织的教育技术公报以及作者的专业临床经验。
外阴LS可表现出多种症状，这些症状可能与其他常见的外阴疾病（如感染）相似。诊断和管理外阴LS需要仔细评估外阴，并对任何可疑的皮肤变化进行活检。高效局部用皮质类固醇治疗可缓解不适症状并减少身体变化。随访管理对于检查诸如阴道入口狭窄等进展性问题以及评估可能提示外阴鳞状细胞癌的皮肤变化至关重要。
准确诊断和成功管理外阴LS需要对外生殖器进行全面评估、了解该疾病以及进行适当的治疗和随访管理。
