Sobel J D
Department of Internal Medicine, Wayne State University School of Medicine, Detroit, Michigan.
Obstet Gynecol Clin North Am. 1990 Dec;17(4):851-79.
Often trivialized by the medical profession, vaginitis in adult women is not only extremely common but is the source of considerable distress. Vaginitis is a major symptom, not just a nuisance; severe cases often result in marked suffering. Epidemiologic studies described in this article indicate the high incidence of vaginitis, attributable to a large number of causes. Although most cases are due to BV, VVC, or trichomoniasis, many other syndromes exist. Given the correct diagnosis, there is a wealth of excellent drugs for treating vaginitis. Hence, clinicians must abandon any tendency to resort to empiric therapy.
成年女性的阴道炎常常被医学界轻视,它不仅极为常见,而且是相当大痛苦的根源。阴道炎是一个主要症状,而非仅仅是个麻烦;严重的病例常常导致明显的痛苦。本文所述的流行病学研究表明阴道炎发病率很高,原因众多。虽然大多数病例是由细菌性阴道病(BV)、外阴阴道假丝酵母菌病(VVC)或滴虫病引起的,但还存在许多其他综合征。鉴于有正确的诊断方法,有大量治疗阴道炎的优质药物。因此,临床医生必须摒弃任何采用经验性治疗的倾向。