Thursday 6 March 2008

Cervical ectropion

Cervical ectropion


[Summary]



Cervical tear occurred in the delivery can be unilateral, bilateral or stellate, varying degrees, from mild to tear to Konglongbu, failing to timely surgical repair, the future scar tissue contracture, cervical ectropion, cervical mucous membrane exposure to the outside, that is a cervical ectropion.



[Diagnosis]




Cervical ectropion, which usually included a scar and cervical laceration of the cervix, mouth tearing deeper, we can see or touch the neck of the plica. Such as 3% acetic acid solution applied locally, can show that the consistency of grape-shaped strip or surface processes.


[Treatment]




Mild cervical ectropion no clinical symptoms, may not be dealt with, with chronic cervicitis symptoms, according to the principle of dealing with chronic cervicitis and treatment.


[Clinical]




Mild symptoms of cervical ectropion not obvious, there are mucus-Leucorrhea slightly increased. However, co-infection, a Manxingzi cervicitis, then to mucus purulent secretions, the volume also increased, and can be in touch with the bleeding, other Manxingzi cervicitis phenomenon can have.

Vaginal Kuiqi as attendance: cervical transverse fissure or a star, cervix before and after lip distance, we can see that the bottom of the neck of the mucosal folds. If both cervicitis, due to long-term congestion, edema and proliferative connective tissue, a result of cervical pre - and post-marked hypertrophy lips, mucous membrane irritation, with the surface mucus secretion (Figure 1).



Figure 1 cervical ectropion (on the left have laceration)

Vaginal that attendance: cervix, mouth wide, and can sometimes feel touched the midline of the neck longitudinal folds.


[Diagnosis]




Identification with cervical erosion (the latter a white uniform, or a hybrid grape-like processes), as also different colposcopy, a special detail gynecological examination Chapter colposcopy Festival.

Cervical ectropion mast, and sometimes it is very difficult and early appearance of cervical cancer identification, should be routinely vaginal cytology and colposcopy and, if necessary, biopsy for diagnosis, are still not sure who to regular follow-up.


[Prevention]




In addition to grasp the attention of abortion operation and correctly handle the medium-term pregnancy, labor and delivery, post-natal, post-abortion review will be required to cervical wellness checks. If found cervical laceration heavier, to timely repair.

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