How to determine gynecological inflammation

Gynecological inflammation includes vulvar and vaginal inflammation, cervical inflammation and pelvic inflammation, which can be judged by the symptoms of the disease and auxiliary examinations. The diagnosis of vulvar and vaginal inflammation is usually based on the clinical symptoms of the patient, which are roughly as follows: 1. Non-specific vulvovaginitis: itching, pain and burning sensation of the mucous membrane of the vulvar skin, and in severe cases, ulcers or eczema may form; chronic inflammation is manifested by thickening and roughness of the skin; 2. Vestibular adenitis: inflammation is mostly on one side, with local swelling and pain at the beginning, and sometimes difficulty in urination and defecation; when an abscess is formed, it is When an abscess is formed, it can be 3-6 cm in diameter; 3. Trichomonas vaginitis: it is manifested by increased vaginal discharge, vulvar itching, etc. The diagnosis can be confirmed if trichomonas is found in the discharge; 4. Bacterial vaginitis: the main clinical diagnostic criteria of Amsel are used. (2) positive clue cells: add 1 drop of 0.9% sodium chloride solution, clue cells >20%; (3) pH of vaginal discharge >4.5; (4) positive amine odor test: add 1-2 drops of 10% potassium hydroxide solution, produce rotten fish-like fishy odor. 5, mycotic vaginitis: manifested as redness and swelling of vulvar-vaginal mucosa, vaginal discharge in the form of bean curd, accompanied by itching, the budding spores and pseudomycorrhizal filaments of Pseudomycetes are visible in the discharge. Second, the common diseases of cervical inflammation 1, acute cervicitis: if microscopic examination of the cervix or vaginal discharge leukocytosis, can be done as a preliminary diagnosis; and then further testing of chlamydia and Neisseria gonorrhoeae is required. The diagnosis can be confirmed with one or both of these tests. 2. Chronic cervicitis: usually there is no obvious abnormality, but a few patients may have increased vaginal discharge, yellowish or purulent, etc.; the preliminary diagnosis can be made based on the above clinical manifestations. 3. pelvic inflammatory disease 2010 CDC diagnostic criteria are as follows: 1. minimum criteria: painful cervical lifting, uterine pressure or painful pressure in the adnexal area, ultrasound, CT examination, inflammatory mass in the adnexal area; 2. additional criteria: such as body temperature over 38.3℃, abnormal mucopurulent discharge from the cervix or vagina, large number of white blood cells in the wet film of vaginal discharge, elevated blood sedimentation and C-reactive protein found in blood sampling and positive cervical Neisseria gonorrhoeae, chlamydia, etc.; 3. Specific criteria: such as histological confirmation of endometritis by endometrial biopsy.