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急性子宫颈炎的诊断及鉴别诊断

董梦婷 薛凤霞

中国实用妇科与产科杂志2024,Vol.40Issue(7):676-679,4.
中国实用妇科与产科杂志2024,Vol.40Issue(7):676-679,4.DOI:10.19538/j.fk2024070102

急性子宫颈炎的诊断及鉴别诊断

Diagnosi,s and differential diagnosis of acute cer-vicitis

董梦婷 1薛凤霞1

作者信息

  • 1. 天津医科大学总医院妇产科天津市女性生殖健康与优生重点实验室,天津 300052
  • 折叠

摘要

Abstract

The cervix is the"gateway"between the relatively"insterile"lower genital tract and the rela-tively"sterile"upper genital tract.The pathogenic bacteria of acute cervicitis mainly are sexually trans-mitted pathogens.Namely,the exogenous pathogens,including Chlamydia trachomatis,Neisseria gonor-rhoeae Mycoplasma genitalium,etc.,but the pathogenic bacteria are still unknown in 50%of patients.The vagina is adjacent to the cervix,and the ascending vaginal endogenous pathogens can lead to cervicitis.Recent studies have shown that the bacterial vaginosis-associated pathogens are asociated with cervicitis.Acute cervicitis can further lead to pelvic inflammatory dis-ease,infertility,premature birth,miscarriage,neonatal infection,etc.,and correct diagnosis and treatment is essential to prevent the long-term sequelae of cervi-citis.The diagnosis of acute cervicitis is divided into clinical and etiological diagnosis.Clinical diagnosis and treatment is based on characteristic signs and microscopic leukocytes of cervical and vaginal dis-charge.With the rapid development of molecular di-agnostic technology and its wide application in clinical practice,their diagnostic performance in pathogens has also shown an increasingly important role.This article describes the diagnostic approach and their advantages and limitations of acute cervicitis,and discusses other disease that need to be differentiated.

关键词

急性子宫颈炎/诊断/鉴别诊断/核酸扩增方法

Key words

acute cervicitis/diagnosis/differential diagnosis/nucleic acid amplification methods

分类

临床医学

引用本文复制引用

董梦婷,薛凤霞..急性子宫颈炎的诊断及鉴别诊断[J].中国实用妇科与产科杂志,2024,40(7):676-679,4.

基金项目

国家自然科学基金(81471419) (81471419)

天津市重大疾病防治科技重大专项(18ZXDBSY00200) (18ZXDBSY00200)

中国实用妇科与产科杂志

OA北大核心CSTPCD

1005-2216

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