Jul 25, 2008

On a comprehensive understanding of cervical erosion

The erosion of the cervix and the surrounding normal squamous cell are very clear boundaries. Often on the basis of erosion area will be divided into light (Ⅰ °), China (Ⅱ °), weight (Ⅲ °) three categories.

Introduction diseases

Inflammation of the cervix due to different levels of stimulation, the cervical mucous membrane columnar epithelial growth slow, epithelial flat, smooth appearance, which is simple erosion; columnar epithelial growth speed, a gland hyperplasia at adenoid erosion. If the gland can be expanded to follicular erosion, with stromal hyperplasia, a small processes, columnar epithelial lining uneven, the formation of papillary erosion. These types often mixed occurred. Cervical erosion is the most common gynecological diseases in kind.

[Causes]

Morbidity due to a mechanical irritation or injury, such as sex, abortion and childbirth injury caused by the invasion of bacteria and cervicitis;

Invasive pathogens, common bacteria such as for the general suppurative staphylococcus, streptococcus, MI gonorrhea, tuberculosis, viral, actinomycetes, trichomonas, Entamoeba cervicitis may cause.

[Symptoms]

The main symptoms are more Leucorrhea, Changchengnongxing. Have lower abdomen and fell lumbosacral pain and stimulate the bladder symptoms of serious erosion of patients with different degrees can be short bloody secretions, in a typical sex life after a bloody secretions, cervical Nongxing thick secretions, negative sperm Through, causing infertility.

[Check]

According to clinical diagnosis is not difficult, but should pay attention to cervical erosion and cervical intraepithelial neoplasia lesions or cervical cancer early appearance from the difficult identification, should be routine for cervical scraping tablets; cervical-absorption, if necessary, for colposcopy and living Organizations to check the diagnosis.

The erosion of the cervix and the surrounding normal squamous cell are very clear boundaries. Often on the basis of erosion area will be divided into light (Ⅰ °), China (Ⅱ °), weight (Ⅲ °) three categories. Where cervical erosion area of the total area of 1 / 3 are for mild cervical erosion. Erosion of cervical area of 1 / 2 to moderate cervical erosion. Erosion of cervical total area of more than 1 / 2 or more severe cervical erosion.

[Treatment]

(1) drug treatment: the erosion of small, relatively shallow inflammatory infiltration of drug treatment can be the following:

① 10 ~ 20% silver nitrate: partial on drugs, one week, two to four times for treatment.

② potassium permanganate: menstruation after local drug Xu, 1 to 2 months after repeat treatment 1. In the use of the drugs, the operation must be careful to prevent the vaginal wall around the burn, but also to the attention of medication, disinfection and prevention of repeated infections.

(2) physical therapy: for erosion larger, deeper inflammatory infiltration of cervical erosion.

①, ironing: a special electric iron, burning will be rotten to the core of organizations, so that the necrosis loss, but also to reach a certain depth, so the treatment effective.

② Cryotherapy: Quick Frozen special device to cervical erosion of lesions frozen, necrosis, shedding. The refrigerant is commonly used liquid nitrogen to the freezer with frozen head temperature can be reduced to - 196 degrees Celsius, the cervix into the surface so that the erosion of the Organization frozen necrosis, loss, renewable grow new epithelium. 1 can be cured. Generally no adverse reaction, a small number of patients have mild dizziness, abdominal pain, and so on.

③ laser treatment: the use of carbon dioxide laser treatment device, using a special laser treatment of radiation cervical erosion, the erosion organizations carbonation, a guitar Filthy, loss, renewable grow new squamous cell. 1 can be cured in general. No special operation does not apply, a small number of patients have bleeding from Filthy.

④ ks-treatment: It is a special band of light and heat treatment, no pain. Good effect. In the above methods used in the course of treatment, should pay attention to genital cleansing, to prohibit live life, and Hip Bath vaginal lavage, should be reviewed regularly observe the erosion of healing.

(3) treatment: drugs and physical therapy does not work, the deeper cervical erosion or larger in size, mast or suspected of cervical cancer, cervical cone could be considered for removal or hysterectomy.

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