Reactive cellular changes

Introduction Reactive cell changes are common in clinical examination of cervical inflammation. Cervicitis is a common disease in women of childbearing age, both acute and chronic. Acute cervicitis often coincides with acute endometritis or acute vaginitis, but it is more common in chronic cervicitis.

Cause

Occurs after birth, abortion or surgery damage to the cervix.

The main pathogens are:

1. Pathogens of sexually transmitted diseases: Neisseria gonorrhoeae and Mycoplasma chlamydia.

2. Endogenous pathogens: Staphylococcus, Streptococcus, Escherichia coli and anaerobic bacteria.

3, other: There are trichomoniasis and ahba in the protozoa. In special cases, it is caused by chemicals and radiation.

an examination

Enzyme-linked immunosorbent assay (ELISA) and nucleic acid detection, secretion examination, pathogen culture and bacterial sensitivity test, cervical smear for lymphocyte classification.

Vaginal B-mode ultrasonography, colposcopy local biopsy.

Differential diagnosis

Differential diagnosis of reactive cell changes:

Squamous cell metaplasia: squamous cell metaplasia refers to local epithelial squamous metaplasia, local squamous epithelial hyperplasia, indicating low-grade squamous intraepithelial lesions, with the possibility of precancerous lesions. It is a cytological examination and therefore does not represent the lesions of the entire cervical histology.

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