Cervical gynecological routine examination

Cervical gynecological routine examination is a routine examination of the cervix for the prevention and timely treatment of cervical lesions. Sexual intercourse was prohibited for the first three days of the examination. The examination should be 3-7 days after the menstrual cleansing. The leucorrhea should be checked before surgery, and no vaginitis can be diagnosed before biopsy can be performed. Do vaginal washing for the first three days of gynecology. A few days before the check, 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. Basic Information Specialist classification: gynecological examination classification: pathological examination Applicable gender: whether women are fasting: not fasting Analysis results: Below normal: Normal value: no Above normal: negative: TCT examination: no inflammation. Positive: There are gynecological diseases, and further diagnosis and treatment are recommended. Reminder: The site of biopsy may be bleeding, so do not have sexual intercourse within 1 to 2 weeks after the examination, and at least half a month after the biopsy, then avoid the inflammatory infection. Vaginal lavage or bath. When vaginal bleeding is frequent, you should go to the hospital for treatment. Normal value Normal result TCT examination: no inflammation. There is no mold, trichomoniasis, herpes virus infection, HPV infection, human papillomavirus infection. Colposcopy: The squamous epithelium of the normal cervicovaginal area is smooth and pink. The epithelium does not change color after 3% acetic acid is applied. The iodine test was positive. Clinical significance Abnormal results: TCT check: 1) Inflammation. The human cervix is ​​a bacteriological environment that affects the abnormal changes of the cervical cells when the environment changes. In most cases, this is normal. The next step is for the physician to usually treat the inflammation according to the degree of inflammation to reduce the symptoms of inflammation. 2) Mold, trichomoniasis, herpes virus infection. Mold, trichomoniasis, and herpes virus infections are multiple infectious diseases. The next step for doctors is to treat them according to the type of microbial infection to relieve symptoms. 3) TCT report results HPV infection, human papillomavirus infection This is an infection caused by a virus. There is no effective treatment, but the body's own immune system may exclude the virus. The next step is to do a regular TCT check. 4) ASC-US does not define the significance of atypical squamous cells. A slight change in cervical cells requires timely examination and treatment. 5) LSIL low-grade squamous intraepithelial lesions. Some suspected precancerous lesions were found and immediately examined and treated. 6) ASC-H atypical squamous cells do not rule out highly squamous intraepithelial lesions. There may be precancerous lesions, but the degree of abnormal cells is not sufficient for a definitive diagnosis. Colposcopy: 1) The columnar epithelium in the cervical canal of the cervical vaginal column is moved down, replacing the squamous epithelium of the cervix and the cervix. The surface of the naked eye is seen as a fluffy, reddish color. After 3% acetic acid application, it swollen quickly and became grape-like. The iodine test was negative. 2) The transformation zone is the region in which the squamous epithelium and the columnar epithelium are interlaced, containing the neonatal squamous epithelium and the columnar epithelium that has not been replaced by the squamous epithelium. Colp-like capillaries are seen under colposcopy; grape islands formed by the epithelium surrounding the columnar epithelium; glandular openings opening in the metaplastic epithelium and retention cysts (cervical gland cysts) covered by metaplastic epithelium. After the application of 3% acetic acid, the metaplastic epithelium was significantly contrasted with the columnar epithelium in the circle. After iodine application, the iodine coloration is different. The pathological examination was squamous metaplasia. 3) Abnormal colposcopy image iodine test is negative, including (1) The white epithelium is white after application of acetic acid, with clear boundaries and no blood vessels. Pathological examination may be metaplastic epithelium and dysplasia. (2) White spotted white patches with rough surface and no blood vessels. It can also be seen without applying 3% acetic acid. Pathological examination is hyperkeratosis or parakeratosis, sometimes HPV infection. There may be malignant lesions in or around the leukoplakia, and a biopsy should be performed routinely. (3) The dot structure is formerly known as the white spot substrate. Whitened with 3% acetic acid, the boundary is clear, the surface is smooth and there are very fine red spots (pointed capillaries). Pathological examination may have dysplasia. (4) Mosaic irregular blood vessels divide the white epithelium with 3% acetic acid and accumulate into small blocks with clear boundaries and irregular shapes, just like the patterns of red thin lines. If the surface is irregular, the blood vessels are pushed to the periphery, suggesting that the cells are hyperplastic, and attention should be paid to cancer. Pathological examination is often dysplasia. (5) Shaped blood vessels refer to the diameter, size, shape, branch, direction and arrangement of blood vessels are extremely irregular, such as spiral shape, comma shape, hairpin shape, leaf shape, line sphere, and bayberry shape. Pathological examinations are mostly cancerous to varying degrees. People who need to be examined: middle-aged and elderly women, infertile people. Positive results may be diseases: cervical disease, cervicitis, gynecological inflammation, subserosal fibroids Pre-inspection contraindications: sexual intercourse is prohibited for the first three days of the examination. The examination should be 3-7 days after the menstrual cleansing. The leucorrhea should be checked before surgery, and no vaginitis can be diagnosed before biopsy can be performed. Do vaginal washing for the first three days of gynecology. A few days before the check, 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. Requirements for examination: The site of biopsy may be bleeding, so do not have sexual intercourse within 1 to 2 weeks after the examination, and at least half a month after the biopsy, then avoid the inflammatory infection. Vaginal lavage or bath. When vaginal bleeding is frequent, you should go to the hospital for treatment. Inspection process 1. Use a TCT-specific sampler to collect cervical cell samples. 2. Unlike conventional cell smears, the TCT examination involves placing the collector in a vial containing the cell preservation solution for rinsing. 3. Disperse and filter the sample using a fully automated cell detector during TCT examination to reduce the remnants of blood, mucus and inflammatory tissue. 4. Microscopic detection and diagnosis during TCT examination. Not suitable for the crowd Inappropriate people: 1 week before menstruation, menstruating women. Adverse reactions and risks Nothing.

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