Clinical Research Fellow in Gynaecological Oncology, Ward 43, Aberdeen Royal Infirmary, Foresterhill Road, Aberdeen AB25 2ZN, UK.
Eur J Obstet Gynecol Reprod Biol. 2012 May;162(1):79-82. doi: 10.1016/j.ejogrb.2012.01.016. Epub 2012 Mar 6.
To review the surgical procedures used to treat the complications of vulval lichen sclerosus at a single tertiary referral institution in north-east Scotland over a ten year period.
A retrospective case note review of women who had surgery for ano-genital lichen sclerosus at Aberdeen Royal Infirmary between January 1999 and December 2009.
The total number of women was 25 and the two most common procedures were Fenton's procedure (median perineotomy) and laser division of adhesions. Initial surgery resulted in an improvement of symptoms for 80% of women.
When surgery for vulval lichen sclerosus is reserved for highly selected cases where there are complications secondary to adhesions, the proportion of women benefiting is high.
回顾在苏格兰东北部的一家三级转诊机构中,在十年期间,治疗外阴硬化性苔藓并发症所采用的手术方法。
对 1999 年 1 月至 2009 年 12 月期间在阿伯丁皇家医院因外阴硬化性苔藓而行手术的女性患者的病历进行回顾性分析。
共有 25 名女性,最常见的两种手术方法是 Fenton 会阴切开术(中位会阴切开术)和激光粘连松解术。初次手术使 80%的女性症状得到改善。
当手术治疗外阴硬化性苔藓仅限于有粘连引起的并发症的高度选择病例时,受益的女性比例很高。