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外阴痛:定义、患病率、影响及病理生理因素。

Vulvodynia: Definition, Prevalence, Impact, and Pathophysiological Factors.

作者信息

Pukall Caroline F, Goldstein Andrew T, Bergeron Sophie, Foster David, Stein Amy, Kellogg-Spadt Susan, Bachmann Gloria

机构信息

Department of Psychology, Queen's University, Kingston, ON, Canada.

Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, DC, USA.

出版信息

J Sex Med. 2016 Mar;13(3):291-304. doi: 10.1016/j.jsxm.2015.12.021.

Abstract

INTRODUCTION

Vulvodynia constitutes a highly prevalent form of chronic genital pain in women, and current information regarding its definition, prevalence, impact, and pathophysiologic factors involved is needed.

AIM

To update the scientific evidence published in 2010 from the Third International Consultation of Sexual Medicine pertaining to the definition, prevalence, impact, and pathophysiologic factors of women's sexual pain.

METHODS

An expert committee, as part of the Fourth International Consultation of Sexual Medicine, comprised of researchers and clinicians from biological and social science disciplines, reviewed the scientific evidence on the definition, prevalence, impact, and pathophysiologic factors related to chronic genital pain.

MAIN OUTCOME MEASURES

A review of the definition, prevalence, impact, and pathophysiological factors involved in vulvodynia.

RESULTS

Vulvodynia is a prevalent and highly impactful genital pain condition. Numerous factors have been implicated in its development and maintenance.

CONCLUSION

What is becoming increasingly apparent is that it likely represents the end point of different factors that can differ from patient to patient. Longitudinal research is needed to shed light on risk factors involved in the expression of vulvodynia, as well as in potential subgroups of affected patients, in order to develop an empirically supported treatment algorithm.

摘要

引言

外阴痛是女性慢性生殖器疼痛的一种高度常见形式,目前需要有关其定义、患病率、影响及相关病理生理因素的信息。

目的

更新2010年第三届国际性医学咨询会议发表的关于女性性疼痛的定义、患病率、影响及病理生理因素的科学证据。

方法

作为第四届国际性医学咨询会议的一部分,一个由生物科学和社会科学领域的研究人员及临床医生组成的专家委员会,对与慢性生殖器疼痛相关的定义、患病率、影响及病理生理因素的科学证据进行了审查。

主要观察指标

对外阴痛所涉及的定义、患病率、影响及病理生理因素进行综述。

结果

外阴痛是一种常见且影响重大的生殖器疼痛病症。其发生和持续存在涉及众多因素。

结论

越来越明显的是,它可能代表了因患者而异的不同因素的最终结果。需要进行纵向研究以阐明外阴痛表现所涉及的危险因素,以及受影响患者的潜在亚组,从而制定基于实证的治疗方案算法。

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