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绝经后女性外阴问题的识别与处理——技巧与窍门。

Identification and management of vulval problems of the postmenopausal woman - Tips and tricks.

机构信息

Department of Obstetrics and Gynaecology, Norfolk and Norwich University Hospitals, NHS Foundation Trust, Norwich, UK.

Department of Dermatology, Norfolk and Norwich University Hospitals, NHS Foundation Trust, Norwich, UK.

出版信息

Post Reprod Health. 2020 Sep;26(3):155-161. doi: 10.1177/2053369120924166.

DOI:10.1177/2053369120924166
PMID:32997591
Abstract

Vulval irritation and discomfort can be a common presentation to both primary and secondary care. These symptoms can become increasingly prevalent due to physiological changes, which occur to the female genitalia following menopausal transition or due to inflammatory conditions. The correct diagnosis and management can have a huge impact on the patients' quality of life. However, due to the nature of the symptoms, there can be delayed presentation to healthcare professionals. This article gives an overview of the most common benign vulval conditions in the post-menopausal woman, their clinical features and the diagnosis and initial management.

摘要

外阴刺激和不适在初级和二级保健中都很常见。由于女性生殖器在绝经过渡期或炎症性疾病后发生的生理变化,这些症状可能会越来越普遍。正确的诊断和管理对患者的生活质量有很大的影响。然而,由于症状的性质,患者可能会延迟向医疗保健专业人员就诊。本文概述了绝经后妇女中最常见的良性外阴疾病、其临床特征以及诊断和初步管理。

相似文献

1
Identification and management of vulval problems of the postmenopausal woman - Tips and tricks.绝经后女性外阴问题的识别与处理——技巧与窍门。
Post Reprod Health. 2020 Sep;26(3):155-161. doi: 10.1177/2053369120924166.
2
Vulvar itch.外阴瘙痒。
BMJ. 2019 Feb 7;364:l83. doi: 10.1136/bmj.l83.
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Recognition and management of vulvar dermatologic conditions: lichen sclerosus, lichen planus, and lichen simplex chronicus.外阴皮肤病的识别与处理:硬化性苔藓、扁平苔藓和慢性单纯性苔藓。
J Midwifery Womens Health. 2012 May-Jun;57(3):260-75. doi: 10.1111/j.1542-2011.2012.00175.x.
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Postmenopausal vulval disease.绝经后外阴疾病
Menopause Int. 2008 Dec;14(4):169-72. doi: 10.1258/mi.2008.008030.
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"WHITE" VULVAL LESIONS: DIFFERENTIAL DIAGNOSIS AND TREATMENT.白色外阴病变:鉴别诊断与治疗
Postgrad Med. 1963 Dec;34:567-71. doi: 10.1080/00325481.1963.11694942.
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Overview of vulvar pruritus through the life cycle.外阴瘙痒在生命周期中的概述。
Clin Obstet Gynecol. 2005 Dec;48(4):786-807. doi: 10.1097/01.grf.0000179636.64663.e6.
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Vulval symptoms after the menopause - Not all atrophy!绝经后的外阴症状——并非全是萎缩!
Post Reprod Health. 2015 Dec;21(4):146-50. doi: 10.1177/2053369115608019. Epub 2015 Sep 29.
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Female Genital Itch.女性生殖器瘙痒。
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[Diagnostic image (10). Lichen sclerosus vulvae].
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[Effect of ultrasonics, hydrocortisone ointment and phonophoresis of hydrocortisone ointment on indices of sensory chronaximetry of patients with kraurosis vulae, lichen scleroatrophicus vulvae and pruritus vulvae essentialis].[超声波、氢化可的松软膏及氢化可的松软膏离子导入对女阴干枯症、萎缩性硬化性苔藓及原发性外阴瘙痒症患者感觉时值指标的影响]
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引用本文的文献

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Menopause, skin and common dermatosis. Part 3: genital disorders.绝经、皮肤与常见皮肤病。第 3 部分:生殖器病变。
Clin Exp Dermatol. 2022 Dec;47(12):2123-2129. doi: 10.1111/ced.15400. Epub 2022 Oct 26.