Department of Obstetrics and Gynecology, Female Pelvic Medicine, and Reconstructive Surgery, University of Michigan, Ann Arbor, MI.
Department of Obstetrics and Gynecology, Center for Vulvar Diseases, University of Michigan, Ann Arbor, MI.
Am J Obstet Gynecol. 2016 Feb;214(2):289.e1-289.e2. doi: 10.1016/j.ajog.2015.08.070. Epub 2015 Sep 6.
Lichen planus is a rare dermatological disorder that is often associated with painful and disfiguring vulvovaginal effects. At the University of Michigan Center for Vulvar Diseases, we see many women with vulvovaginal lichen planus each year, with marked scarring and vulvovaginal agglutination that precludes vaginal intercourse and causes difficulty with urination. Through our experience, we developed a protocol for the operative management and postoperative care for severe vulvovaginal agglutination. Our objective is to share this protocol with a wider audience so that providers who see patients with these devastating effects of lichen planus can benefit from our experience to better serve this patient population. The figure represents a case of erosive lichen planus with early vaginal agglutination. The video reviews the pathophysiology and presentation of lichen planus. We then present a case of scarring and agglutination in a young woman, including our surgical management and postoperative care recommendations.
扁平苔藓是一种罕见的皮肤科疾病，常伴有疼痛和毁容的外阴阴道影响。在密歇根大学外阴疾病中心，我们每年都会接诊许多患有外阴阴道扁平苔藓的女性，她们存在明显的瘢痕和外阴阴道粘连，导致无法进行阴道性交，并引起排尿困难。根据我们的经验，我们制定了一个严重外阴阴道粘连的手术管理和术后护理方案。我们的目的是与更广泛的受众分享这个方案，以便看到患有这种破坏性扁平苔藓影响的患者的医生可以从我们的经验中受益，从而更好地为这一患者群体服务。该图代表一例侵蚀性扁平苔藓伴早期阴道粘连。该视频回顾了扁平苔藓的病理生理学和表现。然后我们展示了一位年轻女性的瘢痕和粘连病例，包括我们的手术管理和术后护理建议。
