病灶内注射类固醇治疗复发性阴道狭窄
Intralesional Steroid Injections for Recurrent Vaginal Strictures.
作者信息
Shim Jessica, Dwiggins Maggie, Gomez-Lobo Veronica
机构信息
Department of Obstetrics and Gynecology, Feinberg School of Medicine, Northwestern University, Chicago, Illinois.
Department of Pediatric and Adolescent Gynecology, Medstar Washington Hospital Center and Children's National Medical Center, Washington, DC.
出版信息
J Pediatr Adolesc Gynecol. 2018 Oct;31(5):526-527. doi: 10.1016/j.jpag.2018.06.004. Epub 2018 Jun 19.
BACKGROUND
Postoperative complications after transverse vaginal septum excision include stricture formation. The purpose of this report is to describe use of intralesional corticosteroid injections for vaginal strictures.
CASE
A 32-year-old gravida 0 with history of transverse vaginal septum and recurrent strictures presented for follow-up of chronic pelvic pain. After her fourth septum revision, the patient underwent a total of 7 triamcinolone injections at the septum tissue. The course of triamcinolone injections improved the stricture and patient's pain.
SUMMARY AND CONCLUSION
Steroid injection into the vaginal septum tissue can be a safe and effective adjuvant therapy after septum resection. Although it is an established adjuvant therapy in other specialties, further studies are warranted to show a decrease in the recurrence rate of vaginal strictures.
背景
经阴道横隔切除术的术后并发症包括狭窄形成。本报告的目的是描述病灶内注射皮质类固醇治疗阴道狭窄的应用。
病例
一名32岁未孕女性，有阴道横隔病史且反复出现狭窄，因慢性盆腔痛前来复诊。在她第四次横隔修复术后，患者在横隔组织共接受了7次曲安奈德注射。曲安奈德注射疗程改善了狭窄情况及患者的疼痛。
总结与结论
向阴道横隔组织注射类固醇可作为横隔切除术后一种安全有效的辅助治疗方法。尽管这在其他专科已是一种既定的辅助治疗方法，但仍需进一步研究以证明阴道狭窄复发率的降低。
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