2015年国际外阴疾病研究学会（ISSVD）、国际女性盆底疾病和泌尿生殖重建学会（ISSWSH）及国际盆底疾病学会（IPPS）关于持续性外阴疼痛和外阴痛的共识术语及分类
2015 ISSVD, ISSWSH and IPPS Consensus Terminology and Classification of Persistent Vulvar Pain and Vulvodynia.
作者信息
Bornstein Jacob, Goldstein Andrew T, Stockdale Colleen K, Bergeron Sophie, Pukall Caroline, Zolnoun Denniz, Coady Deborah
机构信息
Department of Obstetrics and Gynecology, Galilee Medical Center and Bar Ilan Faculty of Medicine, Nahariya, Israel; the Department of Obstetrics and Gynecology, the George Washington University School of Medicine and Health Sciences and the Center for Vulvovaginal Disorders, Washington, DC; the Department of Obstetrics and Gynecology, University of Iowa, Iowa City, Iowa; the Department of Psychology, University of Montreal, Montreal, Quebec, Canada; the Department of Psychology, Queen's University, Kingston, Ontario, Canada; the Department of Obstetrics and Gynecology, Center for Pain Research and Innovation, University of North Carolina, Chapel Hill, North Carolina; and the Department of Obstetrics and Gynecology, NYU Langone Medical Center, New York, New York.
出版信息
Obstet Gynecol. 2016 Apr;127(4):745-751. doi: 10.1097/AOG.0000000000001359.
INTRODUCTION
In 2014, the executive council of the International Society for the Study of Vulvovaginal Disease, the boards of directors of the International Society for the Study of Women's Sexual Health, and the International Pelvic Pain Society acknowledged the need to revise the current terminology of vulvar pain, on the basis of the significant increase in high-quality etiologic studies published in the last decade.
MATERIALS AND METHODS
The new terminology was achieved in the following 4 steps. The first involved a terminology consensus conference with representatives of the 3 societies, held in April 2015. Then, an analysis of the relevant published studies was used to establish a level of evidence for each factor associated with vulvodynia. The terminology was amended on the basis of feedback from members of the societies. Finally, each society's board accepted the new terminology.
RESULTS AND CONCLUSIONS
In 2015,the International Society for the Study of Vulvovaginal Disease, International Society for the Study of Women's Sexual Health, and International Pelvic Pain Society adopted a new vulvar pain and vulvodynia terminology that acknowledges the complexity of the clinical presentation and pathophysiology involved in vulvar pain and vulvodynia, and incorporates new information derived from evidence-based studies conducted since the last terminology published in 2003.
引言
2014年，国际外阴阴道疾病研究学会执行委员会、国际妇女性健康研究学会董事会以及国际盆腔疼痛学会认识到，鉴于过去十年发表的高质量病因学研究显著增加，有必要修订当前的外阴疼痛术语。
材料与方法
新术语通过以下4个步骤确定。第一步是2015年4月与这三个学会的代表举行术语共识会议。然后，对相关已发表研究进行分析，以确定与外阴痛相关的每个因素的证据水平。根据学会成员的反馈对术语进行修订。最后，每个学会的董事会接受了新术语。
结果与结论
2015年，国际外阴阴道疾病研究学会、国际妇女性健康研究学会和国际盆腔疼痛学会采用了新的外阴疼痛和外阴痛术语，该术语承认外阴疼痛和外阴痛临床表现及病理生理学的复杂性，并纳入了自2003年上次发布术语以来基于证据的研究所获得的新信息。
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