Vaginal gynecological routine examination
Vaginal gynecological routine examination is divided into gynecological specialist physical examination and related auxiliary examination, which is a green barrier for women's health. In daily life, women are generally susceptible to gynecological diseases. Therefore, regular routine gynaecological examinations have become an indispensable item for the care of women. The color of the vaginal mucosa is pale, with wrinkles, no ulcers, sputum, cysts, vaginal septum and double vagina and other congenital malformations. Normal vaginal secretions are egg white or white paste, no odor, less amount, but increased during ovulation and pregnancy. If there is an abnormality, the patient will have the corresponding clinical symptoms, ie local itching, burning sensation, etc., the doctor will record in detail and test it. Basic Information Specialist classification: gynecological examination classification: vaginal secretion examination Applicable gender: whether women are fasting: not fasting Tips: It is not suitable for menstruating women to check this item. Normal value 1, leucorrhea routine examination without abnormalities. 2, vaginal exfoliated cells were negative. 3, TBS examination is to take the cervical and vaginal wall exfoliated cells for examination, cancer cells are negative. 4, "TCT ten HPV" combined detection HPV negative. 5, B-ultrasound, vaginal B-ultrasound found no tumor. Clinical significance 1, vaginal discharge routine examination can detect a variety of bacterial infections caused by vaginitis, such as mold, trichomoniasis, clue cells, bacteria, white blood cells, PH value. 2, vaginal exfoliation cell examination specimen collection methods are cervical scraping method, cervical tube suction method, uterine cavity suction method, vaginal wall staining method, vaginal secretion cotton swab smear method. Cervical scraping is the main method of anti-cancer screening. 3, TBS examination is to take the cervical and vaginal wall exfoliated cells for examination, effectively preventing the omission of cancer cells, so that the diagnosis rate of cervical precancerous lesions is greatly improved. It has specific diagnostic value for common gynecological diseases such as cervicitis and cervical erosion. 4, "TCT ten HPV" combined detection of HPV "human papillomavirus", it is the main cause of cervical cancer. After collecting the cell samples, the TCT membrane-based liquid-based ultrathin cytology detection system and other instruments are used to greatly improve the accuracy of screening for cervical cancer. 5, B-ultrasound, vaginal B-ultrasound examination of ovarian tumors, endometriosis, uterine fibroids and other diseases. The vaginal B-ultrasound is intracavitary ultrasound, its frequency is high, the probe is close to the cervix and posterior humerus, the interference is less, and the image is several times clearer than the abdominal B-ultrasound. 6, electronic colposcopy can enlarge the cervix, vaginal mucosa (magnification 40-120 times), to observe the lesions invisible to the naked eye, for the early detection and early diagnosis of cervical cancer and precancerous lesions are of great value. People who need to be examined: genital itching, or burning discomfort, pain in the lower abdomen or lumbosacral region, each time during sexual intercourse, menstruation and defecation. There are also people who are conscious of both lower limb weakness, mouth pain, nausea, yellow urine and other symptoms. Precautions Pre-inspection contraindications: sexual intercourse is prohibited for the first three days of the examination. After 8 pm on the day before the medical examination, you should fast. The examination should be 3-7 days after the menstrual cleansing. A few days before the examination, pay attention to diet, do not eat too much greasy, not easy to digest food, do not drink alcohol, do not eat drugs that damage the liver and kidney function, avoid vaginal use of drugs. Requirements for inspection: Checking for relaxation, checking may cause physical and psychological burdens, should be actively faced, and actively cooperate with the inspection. Inspection process After the aseptic long cotton was taken, the vaginal discharge of the ankle was a little, and it was placed on a slide containing 1 to 2 drops of physiological saline, and immediately examined under a microscope. The uterine cavity is dilated by expanding the uterine cavity, and the cold light source is introduced into the uterine cavity through the hysteroscope through the fiber guide beam and the lens. The cervical canal, the cervix, the endometrium and the fallopian tube opening are observed under direct vision so as to be intuitive and accurate for the lesion tissue. Take the material and send it for pathological examination. Not suitable for the crowd Inappropriate people: menstruating women. Adverse reactions and risks No relevant information.
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