دانلود مقاله با موضوع اندازه گیری ضخامت مخاط دهلیزی با سونوگرافی در بیماران تحت تاثیر وستیبولودینیا

دانلود مقاله با موضوع اندازه گیری ضخامت مخاط دهلیزی با سونوگرافی در بیماران تحت تاثیر وستیبولودینیا

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موضوع انگلیسی:Vestibular Mucosa Thickness Measured by Ultrasound in Patients
Affected by Vestibulodynia

بخشی از متن:A multifactorial etiology has been implicated in the development and maintenance of vestibulodynia
(VBD), and atrophic changes of the vestibular mucosa have been observed in many patients.
Aim: To assess the vestibular mucosa thickness in patients with VBD by comparing this sample with a control
group of healthy fertile women and postmenopausal patients with symptoms of genitourinary syndrome of
menopause (GSM).
Methods: Vestibular mucosa thickness was measured with a 20 MHz ultrasound probe (DermaScan C, Cortex
Technology, Denmark), including both the epidermis and dermis.
Main outcome measures: All women were evaluated by anamnesis, physical examination, and self-report
symptoms. Thickness of the vestibular mucosa (expressed in micrometers) was determined by the B-mode,
excluding the hyperechogenic entrance echo and hypoechogenic subcutis. Clinical data related to VBD and GSM
were recorded using a 0- to 10-point visual analog scale related to dyspareunia and vulvar pain/burning (0 ¼ no
pain; 10 ¼ worst possible pain).
Results: A total of 85 patients were recruited: 24 with VBD, 20 with GSM-related symptoms, and 20 matched
controls. Vestibular mucosa thickness measurements were not significantly different between the VBD
(mean ± DS: 1,092.5 ± 226.1 mm) and GSM groups (1,059.7 ± 221.5 mm), while the parameter was
significantly lower (P < .01) than the control group (1,310.6 ± 250.0 mm). Correlation analysis in the VBD and
GSM groups between low vestibular mucosa thickness and symptom intensity (burning/pain and dyspareunia)
showed a significant correlation


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