前庭大腺炎

紧急程度低
常见-

它是Bartholin腺体的炎症,位于阴道口的两侧。它似乎是由于由于液体积聚或继发于感染而导致的所述腺体阻塞。其最常见的症状是炎症,患处发红,疼痛或发烧。诊断将通过临床病史和妇科检查确定。此外,可以进行分泌液或甚至活组织检查的分析以排除潜在的Bartolino腺肿瘤。至于治疗,它基于抗生素,抗炎药和镇痛药的给药。准时地,它需要实现引流,并且如果是慢性的,则可以进行腺体的摘除。应避免使用紧身衣服和继续使用莱卡内衣,保持适当的私密卫生并采取性交预防措施。

参考文献
  1. Clinical manifestations and diagnosis of Neisseria gonorrhoeae infection in adults and adolescents. Khalil G Ghanem, MD, PhD. Uptodate. Jun 15, 2018.
  2. Centers for Disease Control and Prevention. Sexually Transmitted Disease Surveillance, 2015. Atlanta, GA: US Department of Health and Human Services; October 2016. 
  3. Liu B, Roberts CL, Clarke M, et al. Chlamydia and gonorrhoea infections and the risk of adverse obstetric outcomes: a retrospective cohort study. Sex Transm Infect 2013; 89:672.
  4. Workowski KA, Bolan GA, Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep 2015; 64:1.
  5. Illingworth B, Stocking K, Showell M, Kirk E, Duffy J. Evaluation of treatments for Bartholin's cyst or abscess: a systematic review. BJOG. 2020
    May;127(6):671-678. doi: 10.1111/1471-0528.16079. Epub 2020 Feb 4. PMID: 31876985.
  6. Wechter ME, Wu JM, Marzano D, Haefner H. Management of Bartholin duct cysts and abscesses: a systematic review. Obstet Gynecol Surv. 2009
    Jun;64(6):395-404. doi: 10.1097/OGX.0b013e31819f9c76. PMID: 19445813.
  7. Omole F, Kelsey RC, Phillips K, Cunningham K. Bartholin Duct Cyst and Gland Abscess: Office Management. Am Fam Physician. 2019 Jun 15;99(12):760-766.
    PMID: 31194482.
版权
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症状

    阴道肿块疼痛


    性交时外阴或阴道疼痛


    坐下时会增加疼痛


    发烧 / 发烧的感觉


    阴道口附近的肿块尺寸为1 - 4厘米

需要考虑的症状

高烧(39ºC 或更高)
排出白色液体(脓液)

个人护理

服用非处方止痛药或抗炎药。
保持手和指甲卫生
咨询您的家庭医生抗生素的适应症
避免在该区域使用紧身衣服、有香味或刺激性的肥皂