绝经后妇女由于雌激素水平降低,阴道局部抵抗力下降,易受病菌入侵繁殖而引起炎症。现将我院小剂量雌激素、甲硝唑合用治疗老年性阴道炎30例的体会总结如下: 1 临床资料 年龄为60～80岁,平均年龄68岁,经过检查除外官颈、子宫的恶性肿瘤,并检查是否合并滴虫性或霉菌阴道炎。30例均有白带增多、臭味。其中黄色水样白带18例,脓性白带9例,血性白带3例,伴有外阴瘙痒、灼热感21例,盆腔坠胀不适9例,尿频尿痛9例。阴道粘膜均有不同程度的老年性改变,皱襞消失,上皮变薄,粘膜充血。粘膜有溃疡10例,散在出血点15例,1例检查时出血。 2 方法 先用利夫康乐液冲洗阴道.清洗外阴后.用已烯雌酚片1mg, Postmenopausal women due to lower estrogen levels, vaginal decline in local resistance, susceptible to bacteria invade and cause inflammation. Now our hospital small doses of estrogen, metronidazole combined treatment of senile vaginitis in 30 cases summarized as follows: 1 Clinical data Age 60 to 80 years, mean age 68 years, except after examination of the neck, uterine malignancies , And check whether the combination of trichomoniasis or fungal vaginitis. 30 cases have increased leucorrhea, smell. Among them, 18 cases were yellow watery leucorrhea, 9 cases were purulent leucorrhea and 3 were bloody leucorrhea. There were 21 cases of genital itching and burning sensation, 9 cases of pelvic bulge discomfort and 9 cases of urinary dysuria. Vaginal mucosa have varying degrees of aging changes, folds disappear, thinning of the epithelium, mucosal hyperemia. Mucosal ulcers in 10 cases, scattered in 15 cases of bleeding, bleeding in one case of examination. 2 method first rinse with Levonic liquid vaginal wash after the vulva with diethylstilbestrol tablets 1mg,