英国泌尿生殖医学诊所中外阴硬化性苔藓的管理

Managing vulvar lichen sclerosus in U.K. genitourinary medicine clinics.

作者信息

Jarvis R R, Yell J, Goorney B P

机构信息

Department of Genitourinary Medicine, Hope Hospital, Salford, U.K.

出版信息

J Reprod Med. 1998 Nov;43(11):963-6.

PMID:9839265

Abstract

OBJECTIVE

To survey genitourinary physicians in the United Kingdom on their approaches to the management of vulvar lichen sclerosus.

STUDY DESIGN

Questionnaire survey of United Kingdom genitourinary consultants.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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。

研究设计

对英国泌尿生殖科会诊医生进行问卷调查。

结果

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。