Jarvis R R, Yell J, Goorney B P
Department of Genitourinary Medicine, Hope Hospital, Salford, U.K.
J Reprod Med. 1998 Nov;43(11):963-6.
To survey genitourinary physicians in the United Kingdom on their approaches to the management of vulvar lichen sclerosus.
Questionnaire survey of United Kingdom genitourinary consultants.
Seventy-one percent of genitourinary physicians biopsy vulvar lichen sclerosus. For treatment, 78% of clinicians use a high-grade topical corticosteroid, such as 0.05% clobetasol propionate. Topical sex steroids are used by a minority of clinicians. Cases are followed by 80% of respondents. Having made the diagnosis of this condition, 30% of respondents refer the case to either a dermatologist or gynecologist for further management. Fifty-two percent refer only after treatment failure.
Genitourinary physicians in the United Kingdom see and manage cases of vulvar lichen sclerosus in genitourinary medicine clinics. However, a majority of clinicians refer these cases at some stage. A coordinated and multispecialty approach between genitourinary physicians, dermatologists and gynecologists would provide coherent management of vulvar lichen sclerosus.
就英国泌尿生殖科医生对外阴硬化性苔藓的治疗方法展开调查。
对英国泌尿生殖科会诊医生进行问卷调查。
71%的泌尿生殖科医生会对外阴硬化性苔藓进行活检。在治疗方面，78%的临床医生使用强效外用皮质类固醇，如0.05%丙酸氯倍他索。少数临床医生使用外用性激素。80%的受访者会对病例进行随访。在诊断出这种疾病后，30%的受访者会将病例转介给皮肤科医生或妇科医生进行进一步治疗。52%的人仅在治疗失败后才进行转介。
英国泌尿生殖科医生在泌尿生殖医学诊所诊治外阴硬化性苔藓病例。然而，大多数临床医生会在某个阶段将这些病例进行转介。泌尿生殖科医生、皮肤科医生和妇科医生之间采取协调一致的多专业方法将为外阴硬化性苔藓提供连贯的治疗。
