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本文对上海瑞金医院病理利1971～1980年间收检外阴白斑及有关病例377例,参照第二届国际女阴疾病研究会(ISSVD)制订的女阴疾病分类和国内有关意见进行分类,除105例不能确诊外,其结果是:增生性营养不良121例(44.5%).硬化性苔癣109例(40.1%)。混合性营养不良4例(1.5%),慢性单纯性外阴炎30例(11.0%).不典型增生Ⅰ/Ⅱ级4例(1.5%),外阴原位癌1例,浸润癌4例(合计1.8%)其它2例(0.7%)经过对增生性营养不良和硬化性苔癣的临床和病理结果的全面分析,可看出Taussig氏外阴白斑的分类命名与事实不符,我们建议今后不加采用。从疾病的本质和形态机制出发,目前常见的增生性外阴炎、外阴皮炎。萎缩性外阴炎等一类以词尾“炎”来命名实非恰当。也不宜应用。此外,本文对混合性营养不良容易恶变倾向和慢性单纯性外阴炎诊断上的困难问题进行了简要的讨论。根据本文的研究结果,我们初步认为这样的诊断和分类似乎是可取的。
In this paper, the pathology of Shanghai Ruijin Hospital from 1971 to 1980 admitted to leukoplakia and related cases of 377 cases, with reference to the Second International Symposium on female disease (ISSVD) to develop the classification of female disease and the domestic classification of opinion, except 105 cases Out of doubt, the result was: 121 cases (44.5%) of proliferative dystrophy, 109 cases (40.1%) of lichen sclerosus. Mixed malnutrition in 4 cases (1.5%), chronic simple vulvitis in 30 cases (11.0%), atypical hyperplasia grade Ⅰ / Ⅱ in 4 cases (1.5%), vulvar carcinoma in situ and invasive carcinoma in 4 cases (total 1.8%) Other 2 cases (0.7%) A comprehensive analysis of the clinical and pathological findings of proliferative dystrophy and lichen sclerosus shows that the classification of the Taussig’s leukoplakia does not agree with the facts and we recommend not to adopt it in the future . From the nature of the disease and morphological mechanisms, the current common proliferative vulvitis, vulvar dermatitis. Atrophic vulvitis and other types of suffix “inflammation” to name it is not appropriate. It should not be applied. In addition, a brief discussion of the difficulties associated with the diagnosis of mixed malnutrition and its susceptibility to malignant transformation and chronic simple vulvitis was presented. According to the results of this article, we initially think such a diagnosis and classification seems desirable.