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外阴白色病变合并妊娠产科处理的报道甚少,本文就我院近13年住院分娩的外阴白色病变产妇的分娩方式、外阴伤口及分娩前后局部病变的改变进行了随诊分析。资料与分析一、一般资料:我院产科从1974年1月至1987年9月住院分娩产妇31,794例,其中外阴白色病变合并妊娠60例,患病率为0.2%。年龄最小24岁,最大37岁,平均28.3岁。其中初产妇52例(占86.7%),二胎6例(占10%),三胎2例。二、分组:本文根据临床表现特点分三组。萎缩组:外阴病变区瘙痒,色素脱失、色白,大小阴唇、阴蒂及后联合皮肤粘膜明显萎缩(本组46例)。无萎缩组:外阴包素脱失、变白,但无明显萎缩性改变(本组13例)。皮肤增厚组:局部皮肤增厚(本组1例)。三、临床表现:本组孕前及孕期无症状者3例;孕前外阴瘙痒57例,孕后症状减轻或消失53例(占93%);孕期前后症状无改变4例;无一例孕后症状加重。萎缩组外阴改变可见小阴唇萎缩者37例,大阴唇
Vulvar white lesions with obstetrics and gynecology treatment rarely reported this article on our hospital nearly 13 years of hospital delivery of genital white lesions maternal delivery mode, genital wounds and changes in local disease before and after childbirth were analyzed. Data and Analysis First, the general information: Obstetrics and Gynecology in our hospital from January 1974 to September 1987 31,794 cases of hospital delivery, of which 60 cases of vulvar white lesions combined with pregnancy, the prevalence was 0.2%. Youngest 24 years old, maximum 37 years old, with an average of 28.3 years old. Among them, 52 cases of primipara (86.7%), 6 cases of second child (10%) and 2 cases of three babies. Second, grouping: This article divided into three groups according to the clinical manifestations. Atrophy group: vulvar lesions itching, depigmentation, color white, the size of the labia, clitoral and mucocutaneous combined atrophy (46 cases in this group). No atrophy group: Vaginin inclusion loss, white, but no significant atrophic changes (13 cases in this group). Skin thickening group: local skin thickening (1 in this group). Third, the clinical manifestations: The group before pregnancy and pregnancy asymptomatic in 3 cases; pre-pregnancy genital itching in 57 cases, the symptoms after the reduction or disappearance of 53 cases (93%); no symptoms before and after pregnancy in 4 cases; no case of post-pregnancy symptoms aggravate . Atrophic changes in the vulva can be seen in 37 cases of labia minora, a labia majora