外阴皮肤活检在慢性外阴疼痛评估中的作用。

The role of vulvar skin biopsy in the evaluation of chronic vulvar pain.

作者信息

Bowen Anneli R, Vester Amber, Marsden Lily, Florell Scott R, Sharp Howard, Summers Paul

机构信息

Department of Dermatology, University of Utah School of Medicine, Salt Lake City, UT, USA.

出版信息

Am J Obstet Gynecol. 2008 Nov;199(5):467.e1-6. doi: 10.1016/j.ajog.2008.03.004. Epub 2008 May 19.

DOI:10.1016/j.ajog.2008.03.004

PMID:18486090

Abstract

Sixty-one percent of refractory vulvodynia patients evaluated in a tertiary care vulvovaginal clinic had clinically relevant dermatoses based on dermatopathologist-analyzed vulvar biopsy including: lichen sclerosus, allergic/irritant dermatitis, lichen planus, and other inflammatory or neoplastic dermatoses. Given the frequency of dermatologic disease, vulvar biopsy and analysis by a dermatopathologist are recommended in patients with vulvodynia.

摘要

在一家三级护理外阴阴道诊所接受评估的难治性外阴痛患者中，61% 根据皮肤科病理学家分析的外阴活检结果患有临床相关的皮肤病，包括：硬化性苔藓、过敏性/刺激性皮炎、扁平苔藓以及其他炎症性或肿瘤性皮肤病。鉴于皮肤病的发生率，建议对外阴痛患者进行外阴活检并由皮肤科病理学家进行分析。