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<td colspan="2" bgcolor="FFE3F3"> 更新時間：2008-6-18 19:16:57 【字體：<a href="javascript:fontZoomA();" class="top_UserLogin">小</a> <a href="javascript:fontZoomB();" class="top_UserLogin">大</a>】</td>
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<p> 宮頸位于陰道和子宮之間，即是內生殖器重要的防護屏障又是生殖生理和生殖內分泌功能的重要環節。宮頸炎是育齡期婦女常見病，分急性與慢性宮頸炎兩種。多因分娩、流產或手術損傷宮頸，病原體侵入而感染。此外，與性生活過頻、物理或化學刺激、子宮內膜炎、陰道炎亦有一定關系，臨床以慢性宮頸炎較常見，多無急性炎癥過程的表現。宮頸炎是引起女性不孕的原因之一。</p>
<p> 【臨床表現】</p>
<p> 主要癥狀是白帶增多。急性宮頸炎白帶呈膿性，伴下腹及腰骶部墜痛，或有尿頻、尿急、尿痛等膀胱刺激征。慢性官頸炎白帶呈乳白色黏液狀，或淡黃色膿性；重度宮頸糜爛或有宮頸息肉時，可呈血性白帶或性交后出血。輕者可無全身癥狀，當炎癥沿子宮骶骨韌帶擴散到盆腔時，可有腰骶部疼痛，下腹部墜脹感及痛經等，每于排便、性交時加重。此外，宮頸炎使陰道內環境改變，毒素及炎癥細胞增多，不利于精子的生存和運動，黏稠膿性的白帶使精子無法穿透宮頸進入宮腔，而導致不孕。</p>
<p> 【診斷】</p>
<p> 1．典型的臨床表現。</p>
<p> 2．婦科檢查：急性炎癥可見宮頸充血水腫，或糜爛，有膿性分泌物白宮頸管排出，觸動宮頸時可有疼痛感。慢性宮頸炎可見宮頸有不同程度的糜爛、肥大、息肉、腺體囊腫、外翻等表現，或見宮頸口有膿性分泌物，觸診宮頸較硬。如為宮頸糜爛或息肉，可有接觸性出血。</p>
<p> 3．宮頸刮片示巴氏Ⅱ級。</p>
<p> 4．病情較重者，可做宮頸活檢以明確診斷。 </p>
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<p> 上海市婦女康復專業委員會委員，農工民主黨黨員，曾先后擔任浙醫大婦幼保健院婦產科醫師、湖州市中心醫院婦產科主任、湖州市第二屆計劃生育協會副會長，現任湖州陽光女子醫院名譽院長、婦科主任。</p></td>
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