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首页> 外文期刊>Obstetrics and Gynecology: Journal of the American College of Obstetricians and Gynecologists >Diagnosis and Treatment of Vulvar Dermatoses
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Diagnosis and Treatment of Vulvar Dermatoses

机译：外阴皮肤病的诊断和治疗

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摘要

Vulvar symptoms of pain, dyspareunia, and pruritus are common and may significantly affect a woman's sense of well-being and sexual function. Despite this, vulvar symptoms are often underreported by women. When identified, however, vulvovaginal symptoms should be addressed by health care providers to optimize care. The evaluation of patients with vulvovaginal complaints begins with a thorough history and physical examination. Biopsy is indicated when concern exists for malignancy or the diagnosis is uncertain. Treatment, if possible, should be evidence-based, although for many vulvar disorders including vulvar dermatoses, treatment is based on limited evidence and anecdotal experience. Although many vulvar dermatoses represent chronic conditions and thus cannot be simply cured, control is possible for the majority of women. Patient education regarding vulvar hygiene and skin care is the foundation for optimal management of inflammatory vulvar dermatoses. These conditions may be triggered or worsened by aggressive hygiene. Additionally, patients should be counseled regarding the need for individually tailored long-term maintenance to achieve optimal outcomes.
机译：疼痛、痛和瘙痒等外阴症状很常见，可能会严重影响女性的幸福感和性功能。尽管如此，女性往往低估了外阴症状。然而，一旦发现外阴阴道症状，医务人员应解决以优化护理。外阴阴道主诉患者的评估首先要全面询问病史和体格检查。当存在恶性肿瘤或诊断不确定时，应进行活检。如果可能，治疗应以证据为基础，但对于许多外阴疾病（包括外阴皮肤病），治疗基于有限的证据和轶事经验。尽管许多外阴皮肤病代表慢性疾病，因此无法简单地治愈，但大多数女性可以控制。对患者进行有关外阴卫生和皮肤护理的教育是炎症性外阴皮肤病最佳管理的基础。这些情况可能因积极的卫生而引发或恶化。此外，应告知患者是否需要单独定制长期维护以达到最佳结果。

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