扬州大学：《妇产科学》课程教学课件（PPT讲稿）30 女性生殖道感染 GENITAL TRACT INFECTION 3/3

Cervix ErosionA extension of the columnarepithelium outward across the vaginalface of the cervix*RedderSoft velvety appearanceMucus secretion

1 Cervix Erosion A extension of the columnar epithelium outward across the vaginal face of the cervix. ❖Redder ❖Soft velvety appearance ❖Mucus secretion

Cervix ErosionA extension of the columnarepithelium outward across the vaginalface of the cervix*RedderSoft velvety appearanceMucus secretion

2 Cervix Erosion A extension of the columnar epithelium outward across the vaginal face of the cervix. ❖Redder ❖Soft velvety appearance ❖Mucus secretion

Cervix Erosion电子显微镜下的各种宫颈病变中度烂轻度廉烂重度臊烂富颈癌晚期宫颈素种宫颈息肉宫颈HPV感染正常宫频

3 Cervix Erosion

Nabothian cystDilated retention cystMucin filled cyst yellow to whitishDomed protrusion from the exocervixA few millimeters in diameterRare occasion the diameter may reach 1 cm or moreRequire no therapy

4 Nabothian cyst ❖Dilated retention cyst ❖Mucin filled cyst yellow to whitish, ❖Domed protrusion from the exocervix. ❖A few millimeters in diameter. ❖Rare occasion the diameter may reach 1 cm or more ❖Require no therapy

Nabothian cyst轩正常宫颈纳氏囊肿O福.?二

5 Nabothian cyst ❖

Cervical polypsSmooth, soft, red polypoid lesionsSingle or multipleSeveral millimeters to several centimetersin diameters with narrow stalkIntermenstrual and postcoital bleedingRemoved with a biopsy forcepsPathologic examination

6 Cervical polyps ❖Smooth, soft, red polypoid lesions ❖Single or multiple ❖Several millimeters to several centimeters in diameters with narrow stalk ❖Intermenstrual and postcoital bleeding ❖Removed with a biopsy forceps ❖Pathologic examination

Cervical polyps图11.13.6.2-24小宫张息肉

7 Cervical polyps

Cervical hypertrophyBoth the diameter and the length of the cervixincrease several foldmayedema, congestion

8 Cervical hypertrophy ❖Both the diameter and the length of the cervix may increase several fold ❖edema, congestion

Cervical hypertrophy宫颈肥大

9 Cervical hypertrophy

Clinical findings Increased vaginal dischargepurulentclear mucoidbloodyLowerabdominal painDyspareuniaBackache

10 Clinical findings ❑ Increased vaginal discharge ❖purulent ❖clear mucoid ❖bloody ❑ Lower abdominal pain ❑ Dyspareunia ❑ Backache