第七版妇产科--第二十九章宫颈炎症（The seventh edition of Obstetrics and Gynecology, the twenty-ninth chapter of cervicitis）.docVIP

第七版妇产科--第二十九章宫颈炎症（The seventh edition of Obstetrics and Gynecology, the twenty-ninth chapter of cervicitis） The twenty-ninth chapter cervicitis Cervicitis is the most common gynecological disease. Under normal circumstances, the cervix has multiple defensive functions: the vaginal portion of the cervix covered with stratified squamous epithelium, has strong anti infection ability; the rich internal orifice closed, cervical mucosa covered high columnar epithelium secretes mucus, mucosal folds, cristae or lacunae, thereby increasing the mucosal surface area. The endocervical canal secretes large amounts of mucus and forms mucus plugs containing lysozyme and local antibodies - anti leukocyte protease, which are important for keeping the internal genital tract sterile. It is reported that the lower t / 3 of cervical mucus plugs can detect bacteria, while in the upper 2 and 3, no bacteria can be found. But susceptible to cervical delivery, intrauterine operation injury, cervical columnar epithelium and anti infection ability is poor, due to cervical dry membrane folds. When infection occurs, it is difficult to completely remove pathogens leading to chronic cervicitis. Section 1 acute cervicitis [and] the etiology of acute cervicitis pathogens (acuk CE, c s III) past rare, mainly in infectious abortion, puerperal infection, cervical or vaginal foreign body injury complicated with infection. Common pathogens are Staphylococcus, Streptococcus, Enterococcus and so on. In recent years, with the increase of sexually transmitted diseases, acute cervicitis has become a common disease. At present, the most common pathogens of acute cervicitis are Neisseria gonorrhoeae and Chlamydia trachomatis. Neisseria gonorrhea and Chlamydia trachomatis infection were cervical columnar epithelium, along the mucosal surface caused by the spread of superficial infection, caused by cervical mucopurulent inflammation. In addition to cervical columnar epithelial, Neisseria bacteria also often invad