Sener A B, Kuscu E, Seckin N C, Gökmen O, Taner D, Cobanoglu O, Zorlu G
Department of Menopause, Dr. Z.T.B. Women's Hospital, Ankara, Turkey.
J Pak Med Assoc. 1995 Dec;45(12):315-7.
Vulvar pruritus is a common symptom in post-menopausal women and treatment is easy if the diagnosis is duly recognized. The purpose of this study is to show the importance of colposcopic examination and directed biopsies in 27 post-menopausal women with pruritus. Biopsy sites were selected by colposcopy. The prevalence of vulvar pruritus, vulvar pathologies, vulvar dystrophies and vulvar intraepithelial lesions (VIN) were 2.18%, 1.49%, 0.94% and 0.07% respectively. Vulvar dystrophies were treated by topical steroids and success rate was 100%. All patients with vulvar pruritus need examination under colposcopy to define optimal therapy and to exclude atypia or malignancy.
外阴瘙痒是绝经后女性的常见症状，若能及时确诊，治疗并不困难。本研究旨在表明阴道镜检查及定向活检在27例绝经后瘙痒女性中的重要性。活检部位通过阴道镜检查选定。外阴瘙痒、外阴病变、外阴营养不良及外阴上皮内瘤变（VIN）的患病率分别为2.18%、1.49%、0.94%和0.07%。外阴营养不良采用局部类固醇治疗，成功率为100%。所有外阴瘙痒患者均需接受阴道镜检查，以确定最佳治疗方案并排除异型性或恶性病变。
