Seehusen Dean A, Earwood J Scott
Department of Family and Community Medicine, Eisenhower Army Medical Center, Augusta, GA, USA.
J Am Board Fam Med. 2007 Jul-Aug;20(4):408-10. doi: 10.3122/jabfm.2007.04.060214.
Labial adhesions are common in young girls and menopausal women. Topical estrogen is the first line of therapy for these adhesions. Based on a systematic literature review, postpartum labial adhesions are uncommon in clinical practice. They are not painful but can prevent patients from resuming normal sexual activity. Topical estrogen therapy is an ineffective treatment option for adhesions in this setting. Surgical division under local anesthesia is usually effective.
A 29-year-old women presented at 6 weeks after an uncomplicated vacuum-assisted delivery for a routine postpartum evaluation. Examination revealed a 5-mm labial adhesion connecting her left and right labia minora. Division under local anesthetic resulted in a complete recovery within 3 days.
Postpartum labial adhesions can usually be surgically divided under local anesthetic with complete and rapid recovery.
阴唇粘连在年轻女孩和绝经后女性中很常见。局部雌激素是治疗这些粘连的一线疗法。基于系统的文献综述，产后阴唇粘连在临床实践中并不常见。它们并不疼痛，但会妨碍患者恢复正常的性行为。局部雌激素疗法对于这种情况下的粘连是无效的治疗选择。局部麻醉下的手术分离通常是有效的。
一名29岁女性在无并发症的真空辅助分娩后6周前来进行常规产后评估。检查发现一条5毫米的阴唇粘连连接着她的左右小阴唇。局部麻醉下进行分离，3天内完全恢复。
产后阴唇粘连通常可在局部麻醉下进行手术分离，恢复完全且迅速。
