外阴镜检查:不合时宜还是久经考验的方法?

A. V. Ignatovsky
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引用次数: 0

摘要

目标。由于越来越多的患者患有各种外阴疾病,有必要评估现有的诊断工具。外阴镜检查是广泛应用的方法之一,其诊断敏感性和特异性差异较大。工作目的。通过对文献的分析,确定外阴镜检查的诊断意义。材料和方法。在准备工作中使用了现代研究和出版物的数据。结果。许多出版物的作者警告不要将外阴镜视为阴道镜的一种变体。当用乙酸进行测试时,假阳性结果的高比例可能是由于各种原因造成的,并且对乳头瘤病毒感染没有高度特异性。由于灵敏度低,不建议使用甲苯胺蓝进行测试。结论。外阴镜检查的一个积极方面是能够用光学放大镜检查外阴区域,在方便检查患者的位置,这使得有可能确定要活检的区域。应限制使用醋酸进行附加试验,由于灵敏度低,不建议使用甲苯胺蓝和Lugol溶液进行试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Vulvoscopy: anachronism or a time-tested method?
Objective. Due to the growing number of patients with various diseases of the vulva, there is a need to evaluate the available diagnostic tools. Vulvoscopy is one of the widely used methods, the diagnostic sensitivity and specificity of which varies significantly. Purpose of the work. Based on the analysis of publications to determine the diagnostic significance of vulvoscopy. Material and methods. The data of modern research and publications were used in the preparation of the work. Results. The authors of a number of publications warn against considering vulvoscopy as a variant of colposcopy. A high percentage of false positive results when performing tests with acetic acid may be due to a variety of reasons and is not highly specific for papillomavirus infection. The use of the test with toluidine blue is not recommended due to low sensitivity. Conclusions. A positive aspect of vulvoscopy is the ability to examine the vulva area with optical magnification, in a position convenient for examining the patient, which makes it possible to identify areas to be biopsied. The use of additional tests with acetic acid should be limited, and tests with toluidine blue and Lugol solution are not recommended due to low sensitivity.
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