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1、InflammationoftheFemaleReproductiveTractSelf-cleaning(lactobacillus)Mucus1.Vulvitis(外阴炎)Bartholinitis/Bartholin’scyst(前庭大腺炎／前庭大腺囊肿)2.Vaginitis(阴道炎)3.Cervicitis(宫颈管炎)4.Pelvicinflammatorydisease(PID)(盆腔炎)Genitaltuberculosis(生殖器结核)Sexuallytransmitteddiseases(STD)(性传播疾病)Vulvitis(外阴炎)ClinicalMani
2、festationVulvarpruritus(瘙痒)PainBurningsensationCongestion(充血)SwellingEczema(湿疹)EtiologySpecificorganismsornon-infectivedermatitis(皮炎)Irritationfromvaginaldischarge(分泌物)ormensesLackofvulvarhygieneGlycouriaTreatmentKeepthevulvacleananddryRemovethecause1/5000kMnO4(potassiumpermanganate,PP)solut
3、ionbathAntibioticsointmentBartholinitis(前庭大腺炎)Infectionofthemajorvestibularglands(前庭大腺)(Bartholin’sglands)(巴氏腺)Bartholin’sCyst(前庭大腺囊肿)Majorvestibularglands(Bartholin’sglands)BartholinitisEtiologyStaphylococcus,E.coli,streptococcus,enterococcus,gonococcus,andpolymicrobialinfectioniscommon.Cli
4、nicalmanifestationSymptomsofalocalinfectionAbscessofBartholingland:apainfulredswellingTreatmentAntibiotics(Ampicillin)intheearlystageDraintheabscess(excisionofanellipticalpieceofskin)Marsupialization(造口术)forpreservationoftheglandfunctionExcisionforrecurrentcasesBartholin’sCystTrichomonalvagi
5、nitis(滴虫性阴道炎)CandidalVulvovaginitis(假丝酵母菌性外阴阴道炎)BacterialVaginosis(BV)(细菌性阴道病)Senilevaginitis(老年性阴道炎)Infantilevulvovaginitis(婴幼儿外阴阴道炎)VaginitisTrichomonalVaginitis滴虫性阴道炎(Trichomoniasis)EtiologyTrichomonad(毛滴虫)：Aflagellateprotozoan(有鞭毛原虫)Bestlivingenvironment:Moist,anaerobic,pH:5.2-6.6Transmi
6、ssion1.Sexualcontact(70%maleinfection,asymptomaticcarrier)2.Nonsexualtransmission(iatrogenic)PathogenesisThetrichomonadlivesonglycogenandironofthehostcellDirectcontactanddamageofthetargetcellInductionofimmunereactionresultingininflammationClinicalPictureLatentperiod:4-28daysAsymptomatic:25-5
7、0%Symptoms：Main:ProfusevaginaldischargeandpruritusOccasional:odor,pain,dyspareunia,dysuria,infertilityCharacteristicsofthevaginaldischargeCopious(大量的),Purulent(脓性的),Graytoyellowcolor,Malodorous(恶臭的),Frothy(起泡沫的)Strawberrycervix:Tiny,punctatehemorrh
