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含雌三醇阴道乳膏对斑点性阴道炎的阴道内治疗(作者译)

[Intravaginal treatment of colpitis maculosa with an oestriol-containing vaginal cream (author's transl)].

作者信息

Schröck A, Kofler K, Baumgarten K, Endl J, Schmidt J, Tatschl S

出版信息

Wien Klin Wochenschr. 1981 Dec 11;93(23):713-6.

PMID:7342467
Abstract

43 patients with colpitis maculosa (average age 60.2 years) were selected for an open control therapeutic study with Ortho-Gynest vaginal cream (Ortho-Cilag). The cream contains 0.5 mg of oestriol per single applicator filling. The treatment lasted from 3 to 4 weeks, success being evaluated by clinical documentation and cytological evaluation of vaginal smears before and after treatment. 10 patients (23.3%) were treated successfully, 29 (67.4%) showed a distinct improvement both clinically and cytologically, whilst the remaining 4 (9.3%) showed only moderate improvement. Hence, 39 patients (90.7%) were classified as having been successfully or partly successfully treated. Severe symptoms disappeared completely or were greatly alleviated in 91.4% cases. Moderate symptoms vanished in 59.7%. 58.1% showed a complete normalisation of the former atrophic vaginal skin. Blood spotting and reddening of the vaginal wall vanished completely. A change from dry to moist vagina occurred in 77.3% patients. Discharge vanished completely in 80.6% cases. No untoward side effects were recorded.

摘要

选取43例斑点状阴道炎患者(平均年龄60.2岁),采用奥适宝阴道乳膏(奥适宝制药)进行开放对照治疗研究。每支涂抹器所装乳膏含0.5毫克雌三醇。治疗持续3至4周,通过治疗前后的临床记录及阴道涂片的细胞学评估来评价疗效。10例患者(23.3%)治疗成功,29例(67.4%)在临床和细胞学方面均有明显改善,其余4例(9.3%)仅有中度改善。因此,39例患者(90.7%)被归类为治疗成功或部分成功。91.4%的病例中严重症状完全消失或大幅缓解。59.7%的病例中中度症状消失。58.1%的患者先前萎缩的阴道皮肤完全恢复正常。阴道壁的点状出血和发红完全消失。77.3%的患者阴道由干涩转为湿润。80.6%的病例中分泌物完全消失。未记录到不良副作用。

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