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外阴白色病变病因研究及治疗现状

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外阴白色病变(WLV)是与遗传、免疫、炎症、代谢等多种因素相关所致的一组外阴局部皮肤病变,恶变率为(2~25)/104,目前国内外妇产科及皮肤科学术界对WLV的认识尚未统一,约10%无症状WLV患者可能被临床漏诊或误诊。目前临床对WLV患者的治疗方案,亦尚存在较大差异。笔者拟就本病病因及治疗最新研究现状进行阐述,旨在为WLV患者的临床诊断和治疗提供参考。
Current research status on etiology and treatment of patients with white lesions of vulva
White lesion of vulva(WLV)is a group of local vulvar skin lesions associated with genetics,immunity,inflammation,metabolism and other factors.The malignant transformation rate of WLV is(2-25)/104.At present,the understanding of WLV in obstetrics,gynecology and dermatology academic circles at home and abroad has not yet been unified.Nearly 10%of asymptomatic WLV patients may be clinically missed or misdiagnosed.There are also great differences in treatment options.The authors will elaborate the research status of etiology and treatment of WLV,in order to provide reference for the clinical diagnosis and treatment of patients with WLV.

White lesion of vulvaVulvar lichen sclerosusPruritus vulvaeImmunity,mucosalCollagen diseasesChemokinesDrug therapyPhysical therapy modalitiesLaser therapyFemale

杨琳、尹如铁

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四川大学华西第二医院妇产科、出生缺陷与相关妇儿疾病教育部重点实验室,成都 610041

外阴白色病变 外阴硬化性苔藓 瘙痒症,外阴 免疫,黏膜 胶原病 炎症趋化因子类 药物疗法 物理治疗方法 激光疗法 女(雌)性

四川省科学技术厅重点研发项目成都市科技项目重点研发支撑计划四川省卫生健康委员会"两癌"筛查适宜技术基地(师资培训)项目

2019YFS05322021-YF05-01725-SN2022JDXM001

2024

中华妇幼临床医学杂志(电子版)
中华医学会

中华妇幼临床医学杂志(电子版)

CSTPCD
影响因子:1.514
ISSN:1673-5250
年,卷(期):2024.20(2)