和阴道移植对宿主疾病:患病率和对阴道微生物群的影响
Luiza de Amorim de Carvalho Araújo1, Karinne Cisne Fernandes Rebouças1, Fernando Barroso Duarte2
1Universidade Federal do Ceará Maternidade Escola Assis Chateaubriand FortalezaCE Brazil Maternidade Escola Assis Chateaubriand, Universidade Federal do Ceará, Fortaleza, CE, Brazil.
概括
骨髓移植 (BMT) 后的移植与宿主疾病 (GVHD) 经常导致妇科问题,包括阴道干燥和缩. 和阴道移植与宿主疾病 (VVGVHD) 影响近一半的患者,影响阴道菌群,增加HPV病变风险.
科学领域:
- 妇科 妇科 妇科 妇科
- 血液学 血液学 血液学
- 在瘤学瘤学.
背景情况:
- 异构骨髓移植 (BMT) 可能导致移植与宿主疾病 (GVHD),在这种疾病中,捐赠免疫细胞攻击受体组织.
- 在BMT后的患者中,妇科并发症和阴道微生物群的变化未得到充分研究.
研究的目的:
- 为了确定在患者中妇科并发症的患病率后异构BMT.
- 评估和阴道移植与宿主疾病 (VVGVHD) 的发生率及其对阴道微生物群的影响.
主要方法:
- 一项描述性的横截面研究,涉及22名后异构性 BMT 患者.
- 妇科评估包括采访,体检,阴道内容分析,色素染色和细胞学.
主要成果:
- 观察到45%的VVGVHD患病率,100%的部和60%的阴道参与.
- 常见的投诉包括阴道干燥,12名患者表现出生殖器缩.
- VVGVHD与燃烧和失联症的增加,更高的HPV病变患病率和阴道菌群的改变相关.
结论:
- VVGVHD是后BMT患者中普遍存在且可能致残的疾病.
- 妇科评估对于管理BMT后的长期并发症至关重要.
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