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
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)