Teaff N L, Malone J M, Ginsburg K A, Bartles L W, Haigler B B
Division of Reproductive Endocrinology, Wayne State University School of Medicine, Hutzel Hospital, Detroit, MI 48201.
Int J Gynaecol Obstet. 1991 Feb;34(2):145-9. doi: 10.1016/0020-7292(91)90229-x.
Thirty-two postmenopausal women, age 50 years or older, were colposcoped for abnormal Papanicolaou (PAP) smears. Sixteen had mild to moderate dysplasia, six severe dysplasia and the remainder had no dysplasia. Treatment included observation, topical estrogen, cryotherapy, conization or hysterectomy. Based upon our observations, satisfactory colposcopy can be performed in the majority of postmenopausal women. Oral or topical estrogen is a valuable adjunct in the initial evaluation and treatment of abnormal PAP smears in postmenopausal women. Criteria for adequate colposcopy in postmenopausal women are discussed and a management scheme is proposed.
32名年龄在50岁及以上的绝经后女性因巴氏涂片异常接受了阴道镜检查。其中16人有轻度至中度发育异常，6人有重度发育异常，其余人无发育异常。治疗方法包括观察、局部使用雌激素、冷冻疗法、锥形切除术或子宫切除术。根据我们的观察，大多数绝经后女性都能进行满意的阴道镜检查。口服或局部使用雌激素在绝经后女性异常巴氏涂片的初步评估和治疗中是一种有价值的辅助手段。讨论了绝经后女性充分阴道镜检查的标准，并提出了一种管理方案。
