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外陰瘙癢症外陰瘙癢的原因(2)

Hot 2Viewed 261 times28-4-2023 07:20 PM

  1.外陰炎

經常保持外陰部的清潔、乾燥,不穿化纖內褲。針對病因治療,消除刺激的來源,急性期應避免生殖生活,適當休息。每日可用1:5000高錳酸鉀液洗外陰或坐浴2~3次,若有潰瘍可用抗生素軟膏塗抹,乳癰新黴素軟膏或金黴素軟膏等。另外可採用物理療法如超短波或微波治療,還可選用一些中藥水煎後熏洗。

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  2.外陰磷上皮細胞增生

  對本病的治療首先讓患者保持外陰清潔乾燥,禁用肥皂及其他刺激物清洗外陰,內褲應選用通氣較好的棉質品以免加重病情,避免用手或器械搔抓患處,並忌食辛辣刺激及易致敏食物。

  鎮靜抗過敏治療

對精神緊張症狀明顯一直失眠者,可用鎮靜安眠和抗過敏治療。在控制局部瘙癢時,主張採用皮質激素局部治療。同時加以外用藥物來輔助治療。

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  激光治療

  可以破壞深大2mm的皮膚層,同事破壞真皮層內神經末梢,減輕瘙癢症狀。手術治療:藥物治療無效或可以惡變者可行局部病灶切除或單純外陰切除,術後定期復查。

  3.外陰硬化性苔蘚

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  一般治療與外陰鱗狀上皮細胞增生相同。2%丙酸睾丸酮魚肝油軟膏塗擦,每天3~4次。可能複發。藥物治療無效時可考慮手術治療,但因惡變較少,一般不用手術治療。

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