儿童肛门生殖器硬化性苔藓诊疗管理中国专家共识（2026版）

doi:10.35541/cjd.20250597

中华皮肤科杂志 ›› 2026, Vol. 59 ›› Issue (5): 396-406.doi: 10.35541/cjd.20250597

儿童肛门生殖器硬化性苔藓诊疗管理中国专家共识（2026版）

中国妇幼保健协会儿童变态反应专业委员会儿童皮肤病学组

中国妇幼保健协会儿童变态反应专业委员会儿童皮肤病学组

收稿日期:2025-10-28 修回日期:2026-03-11 发布日期:2026-04-30
通讯作者: 李钦峰；高莹；徐子刚 E-mail:lyz20061217@sina.com

Chinese expert consensus on the diagnosis and management of pediatric anogenital lichen sclerosus （2026 edition）

Pediatric Dermatology Group, Professional Committee of Pediatric Allergy, China Maternal and Child Health Association

Pediatric Dermatology Group, Professional Committee of Pediatric Allergy, China Maternal and Child Health Association

Received:2025-10-28 Revised:2026-03-11 Published:2026-04-30
Contact: Li Qinfeng; Gao Ying; Xu Zigang E-mail:lyz20061217@sina.com

摘要/Abstract

摘要： 【摘要】儿童肛门生殖器硬化性苔藓是一种发生于生殖器肛门部位的慢性炎症性疾病，病情严重者可造成解剖结构改变，出现排尿及排便困难，严重影响患儿身心健康及生活质量。中国妇幼保健协会儿童变态反应专业委员会儿童皮肤病学组组织我国儿童皮肤科及泌尿外科专家，在综合国内外临床研究的基础上，依据循证医学证据及专家意见，从临床表现、诊断及鉴别诊断、疾病评估、治疗方案选择及随访等方面进行了全面梳理，形成了专家共识，为临床医师诊疗提供指导。

关键词: 硬化性苔藓, 儿童, 肛门生殖器, 诊断, 治疗, 专家共识

Abstract: 【Abstract】 Pediatric anogenital lichen sclerosus （ALS） is a chronic inflammatory disease affecting the genital and anal regions; in severe cases, it can cause anatomical changes, leading to difficulties in urination and defecation, and seriously impair the physical and mental health as well as the quality of life of affected children. The Pediatric Dermatology Group, Professional Committee of Pediatric Allergy, China Maternal and Child Health Association convened Chinese experts in pediatric dermatology and urology, and developed a consensus on the diagnosis and management of pediatric ALS based on a comprehensive review of Chinese and international clinical studies, evidence?based medical evidence, and expert opinions. This consensus comprehensively elaborates on the clinical manifestations, diagnosis and differential diagnosis, disease assessment, treatment, and follow?up of pediatric ALS, aiming to provide guidance for clinicians in its management.

Key words: Lichen sclerosus, Child, Anogenital region, Diagnosis, Therapy, Expert consensus

中国妇幼保健协会儿童变态反应专业委员会儿童皮肤病学组. 儿童肛门生殖器硬化性苔藓诊疗管理中国专家共识（2026版）[J]. 中华皮肤科杂志, 2026,59(5):396-406. doi:10.35541/cjd.20250597

Pediatric Dermatology Group, Professional Committee of Pediatric Allergy, China Maternal and Child Health Association. Chinese expert consensus on the diagnosis and management of pediatric anogenital lichen sclerosus （2026 edition）[J]. Chinese Journal of Dermatology, 2026, 59(5): 396-406.doi:10.35541/cjd.20250597

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儿童肛门生殖器硬化性苔藓诊疗管理中国专家共识（2026版）

Chinese expert consensus on the diagnosis and management of pediatric anogenital lichen sclerosus （2026 edition）

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