国际妇产科学杂志

国际妇产科学杂志 ›› 2011, Vol. 38 ›› Issue (6): 490-493.

• 综述 • 上一篇    下一篇

外阴阴道假丝酵母菌病的诊治进展


吴文湘,刘朝晖   

  1. 100034 北京大学第一医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2011-12-15 发布日期:2011-12-15
  • 通讯作者: 刘朝晖

Diagnosis and Treatment Advancement of Vulvovaginal Candidiasis

WU Wen-xiang，LIU Zhao-hui   

  1. Department of Obstetrics and Gynecology，Peking University First Hospital，Beijing 100034，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2011-12-15 Online:2011-12-15
  • Contact: LIU Zhao-hui

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摘要： 外阴阴道假丝酵母菌病（VVC）是育龄女性的常见病和多发病。其病原体分为白色假丝酵母菌和非白色假丝酵母菌两大类，以白色假丝酵母菌为主。诊断主要依靠临床症状、体征和实验室检查。2010年美国疾病控制中心更新了VVC的诊治规范，根据VVC的不同分类，选择个体化的抗真菌治疗。其他治疗如免疫治疗和乳酸杆菌治疗等仍处于研究阶段。

关键词: 念珠菌病, 外阴阴道, 酵母菌属, 诊断, 治疗

Abstract: Vulvovaginal Candidiasis（VVC）is a common gynecologic disease，especially in women of childbearing age.VVC usually is caused by Candida albicans，but occasionally is caused by non-albicans Candida. The diagnosis can be made in a woman who has signs and symptoms of vaginitis when mycologic laboratory examination is positive.American Center for Disease Control and Prevention has renewed the treatment guidelines of VVC in 2010.VVC is treated with a variety of anti-fungal drugs. Individual treatment should be recognized according to different classification of VVC. Other treatments about immunotherapy and lactobacillus administration are still at the research stage.

Key words: Candidiasis, vulvovaginal, Saccharomyces, Diagnosis, Therapy