cervical erosion
Introduction
Introduction The squamous epithelium at the outer cervix is covered by a columnar epithelium. The columnar epithelium is very thin. If you see the capillaries and red interstitial below, it shows a red zone and has a clear boundary with the surrounding squamous epithelium. This is cervical erosion, which is also called cervical columnar epithelial ectopic. If there is an increase in leucorrhea, yellowing, and odor, it is a manifestation of cervicitis. The cyst and hypertrophy of the cervix are also the result of chronic inflammation of the cervix.
Cause
Cause
The occurrence of cervical erosion is caused by childbirth, abortion, puerperal infection or surgical operation or mechanical stimulation such as sexual life damage to the cervix and pathogen invasion. I hope that everyone can pay attention to it. Because of the direct contact between the penis and the cervix during sexual life, if you do not pay attention to sexual hygiene, you can directly bring the bacteria into the vagina and infect the cervix. For women who have suffered from cervical erosion, It can aggravate its cervix inflammation, which may enlarge the erosion surface. Severe cervical erosion sometimes causes bleeding during sexual intercourse. Therefore, no matter whether women suffer from cervical erosion, they should pay attention to sexual intercourse. Before sex, both men and women should clean the vulva. The man should pay attention to remove smegma, because it is believed that the cholesterol in smegma can be changed under the action of bacteria. It is a carcinogen. Active treatment after suffering from cervical erosion.
Examine
an examination
The degree of cervical erosion and the size of the erosion area are the basis for the doctor's classification diagnosis. Cervical erosion can be divided into 3 degrees according to the size of the erosion area:
Mild (I) means that the erosion surface is less than 1/3 of the entire cervical area.
Moderate (II) means that the erosion surface accounts for 1/3 to 2/3 of the entire cervical area.
Severe (III) means that the erosion surface accounts for more than 2/3 of the entire cervical area.
Cervical erosion is difficult to identify due to early cervical cancer. If you know that you have cervical erosion, you should first do a cervical smear. Previously, the traditional Pap smear examination was performed by a doctor or a laboratory technologist. This method is prone to missed diagnosis. The rate of missed diagnosis is about 30%, and it is often necessary to check the smear several times to prevent missed diagnosis. At present, the ct check is commonly used in major hospitals, that is, the computer scan smear analysis, which can analyze the cells on the film one by one, and the accuracy is ten times higher than that of the human eye. But its price is several times more expensive than the traditional method. Cervical smear examination can not be used as a basis for diagnosis. If atypical cells are found, further colposcopy and biopsy should be performed to confirm the diagnosis.
Diagnosis
Differential diagnosis
According to the degree of erosion, it is divided into 3 types: simple type erosion, granular type erosion, and mastoid type erosion.
Simple type erosion is mostly in the early stage of inflammation, the surface of the erosion is flat, and the granular type erosion is a simple type of erosion. The erosion surface is uneven and granular, which is called granular type erosion. The mastoid type erosion is a granular type erosion without timely treatment, and the surface is uneven. The granules are more pronounced as papillary, called mastoid erosion.
The standard diagnosis of cervical erosion should also indicate the area and depth of the erosion. Example: Diagnosis of severe erosion, mastoid type.
