cervical ectropion
Introduction
Introduction to cervical valgus The cervix tears during childbirth, which can be unilateral, bilateral or stellate, ranging from mild to tearing to the ankle. If it is not repaired in time, the scar tissue will contract in the future and the cervical canal will be everted. The cervical mucosa is exposed to the outside, which forms cervical valgus. Because of the large cervical laceration during childbirth, it can not be repaired in time, the cervical mucosa self-healing, forming a generally more fibrous scar, the outer mouth is slack, often infected with edema, congestion, cervical enlargement, hypertrophy and so on. The cause of cervical valgus is mainly due to the large cervical laceration during childbirth. It can not be repaired in time. The cervical mucosa self-healing, forming a generally firm fibrous scar, loose external mouth, often infected with edema, congestion, and cervical enlargement. , hypertrophy, the endocervix of the cervix protrudes beyond the cervical canal, or the scar contracture caused by the failure of timely repair of the dry laceration, so that the cervical mucosa is exposed to the outside to form the endocervical valgus. basic knowledge The proportion of illness: 0.001% Susceptible people: good for postpartum women Mode of infection: non-infectious Complications: chronic cervicitis
Cause
Causes of cervical valgus
Due to the large cervical laceration during childbirth, it can not be repaired in time, the cervical mucosa self-healing, forming a generally solid fibrous scar, loose external mouth, often infected with edema, congestion, cervical enlargement, hypertrophy, cervical endometrial protrusion Beyond the cervical canal, or the scar contracture caused by the failure to repair the dry laceration, so that the cervical mucosa is exposed to the outside to form the endocervical valgus.
Prevention
Cervical valgus prevention
1. Prevent infection: Pay attention to prevent infection after childbirth or abortion.
2. Pay attention to the operation of artificial abortion and correctly handle the induction and delivery of mid-term pregnancy.
3. After the postpartum, after abortion review, the cervix should also be routinely examined. If the cervical lacer is found to be heavier, it should be repaired in time.
Complication
Cervical valgus complications Complications chronic cervicitis
Often combined with infection, the formation of chronic cervicitis, it turns into mucopurulent secretions, the amount is also increased, and there may be contact bleeding.
Symptom
Cervical valgus symptoms common symptoms vaginal discharge increased cervical erosion purulent secretions cervical bleeding inflammation
Symptom
The main clinical manifestations of leucorrhea increased, the symptoms were not obvious when not infected; if the infection was complicated, the vaginal mucus purulent secretion increased, and even contact bleeding, lower abdomen or lumbosacral pain.
2. Signs
Vaginal finger examination shows that the mouth of the cervix is wide, and sometimes it can feel the longitudinal folds in the neck tube. The vaginal speculum is seen in the cervix, and the cervix is transversely cracked or star-shaped. The anterior and posterior lip of the cervix are far away, and the neck can be seen. At the lower end of the mucosal wrinkle wall, when the inflammation occurs, the anterior and posterior lip of the cervix are obviously hypertrophied, red and swollen, and the surface is covered with mucous secretions. The smear is applied with a 3% acetic acid solution to show a consistent grape-like or noodle-like bulge.
Examine
Cervical valgus examination
Vaginal speculum inspection: cervical transverse or star-shaped, anterior and posterior lip distance, visible mucosal folds at the lower end of the neck, such as coexisting cervicitis, due to long-term congestion, edema and connective tissue hyperplasia Before the cervix, the posterior lip is obviously hypertrophied, the mucosa is red and swollen, and the surface is accompanied by mucous secretions.
Vaginal digital examination: the outer cervix is wide, and sometimes it can feel the vertical folds of the midline of the neck.
Laboratory diagnosis:
1. When the inflammation is complicated, it can be applied with a 3% acetic acid solution to show a consistent grape-like or noodle-like bulge.
2, vaginal secretion smear examination, you can find a large number of cells or pathogenic bacteria.
3, although there are excellent symptoms of bladder, but the urine is normal.
4, cervical smear to check cancer cells, no cancer cells and nuclear heterogeneity, a large number of white blood cells can be found.
Diagnosis
Diagnosis of cervical valgus
Detailed medical history, careful examination, exclusion of cervical erosion and early cervical cancer can be diagnosed. Can be distinguished from cervical erosion (the latter is even milky white, with or without grape-like protrusions), colposcopy is also different, special gynecological examination, colposcopy.
Cervical valgus hypertrophy, sometimes the appearance is difficult to distinguish from early cervical cancer, should be routinely used for vaginal cytology and colposcopy, if necessary, biopsy confirmed, still not sure that regular follow-up.
