宮(gong)頸(jing)(jing)囊(nang)(nang)腫即(ji)宮(gong)頸(jing)(jing)腺囊(nang)(nang)腫,宮(gong)頸(jing)(jing)腺囊(nang)(nang)腫一(yi)般不需要立即(ji)進行刮片手術(子宮(gong)頸(jing)(jing)活檢)。宮(gong)頸(jing)(jing)腺囊(nang)(nang)腫是(shi)(shi)一(yi)種宮(gong)頸(jing)(jing)粘膜上(shang)皮囊(nang)(nang)腫,通常是(shi)(shi)由于宮(gong)頸(jing)(jing)上(shang)皮細胞的(de)(de)分(fen)泌物積(ji)聚導致的(de)(de)。它通常是(shi)(shi)良性的(de)(de),且大多時候(hou)是(shi)(shi)無癥(zheng)狀的(de)(de)。
針對(dui)宮(gong)頸腺囊(nang)腫(zhong),最常見(jian)的處理方(fang)法是觀察和監測,特別是對(dui)于小(xiao)型(xing)、無癥狀的囊(nang)腫(zhong)。醫生(sheng)(sheng)可(ke)能會(hui)建(jian)議定期(qi)進行(xing)盆(pen)腔檢查,以(yi)確(que)保囊(nang)腫(zhong)沒(mei)有增大(da)或出現其(qi)他變化。如果囊(nang)腫(zhong)持(chi)續增大(da)、引起不(bu)適(shi)癥狀或懷疑有其(qi)它問題時,醫生(sheng)(sheng)可(ke)能會(hui)考慮(lv)進行(xing)進一步(bu)的治療。
刮片(pian)(pian)手術(shu)通常是(shi)用于(yu)宮(gong)頸病變(bian)的(de)診斷和治療。如果(guo)囊腫(zhong)的(de)存在(zai)使得宮(gong)頸的(de)活檢難以(yi)進(jin)行(xing),或者囊腫(zhong)的(de)性(xing)質可能有(you)不確(que)定性(xing),醫(yi)生可能會決定進(jin)行(xing)刮片(pian)(pian)手術(shu)以(yi)進(jin)一步評估囊腫(zhong)的(de)性(xing)質,排除其(qi)他(ta)病變(bian)的(de)存在(zai)。
因此,是否需要(yao)(yao)進(jin)行(xing)(xing)刮片(pian)手術(shu)需要(yao)(yao)根據具體(ti)(ti)情況來決(jue)定。如果囊(nang)腫沒(mei)有癥(zheng)狀(zhuang)、大小穩定并且沒(mei)有其他異(yi)常表(biao)現,且經過監測一段時間后仍然(ran)沒(mei)有變化,可能(neng)不需要(yao)(yao)進(jin)行(xing)(xing)刮片(pian)手術(shu)。然(ran)而,如果囊(nang)腫引起不適(shi)癥(zheng)狀(zhuang)或者(zhe)存在其他疑點(dian),醫生(sheng)可能(neng)會(hui)建議進(jin)行(xing)(xing)刮片(pian)手術(shu)以了(le)解更多相關(guan)信息。最(zui)終的(de)決(jue)定還是需要(yao)(yao)根據個體(ti)(ti)情況和醫生(sheng)的(de)專業意(yi)見(jian)來確定。
你好。宮(gong)頸(jing)(jing)(jing)腺囊(nang)(nang)腫表(biao)現為多(duo)個黃白(bai)(bai)色的(de)(de)小囊(nang)(nang)泡,突出(chu)(chu)于宮(gong)頸(jing)(jing)(jing)表(biao)面,內含(han)無(wu)(wu)色膠凍狀物。若伴(ban)發(fa)(fa)感染(ran),小囊(nang)(nang)泡外(wai)觀多(duo)呈白(bai)(bai)色或(huo)黃色。其包含(han)的(de)(de)黏(nian)液常(chang)清澈透明(ming),但可(ke)(ke)(ke)能由于合(he)(he)并(bing)感染(ran)而(er)呈混濁膿性。囊(nang)(nang)腫一(yi)般(ban)小而(er)分散,可(ke)(ke)(ke)突出(chu)(chu)于子宮(gong)頸(jing)(jing)(jing)表(biao)面。有(you)(you)的(de)(de)宮(gong)頸(jing)(jing)(jing)囊(nang)(nang)腫可(ke)(ke)(ke)以長得很大(da)(da),突出(chu)(chu)于宮(gong)頸(jing)(jing)(jing)表(biao)面,甚至(zhi)到(dao)達陰(yin)道口,根部(bu)與宮(gong)頸(jing)(jing)(jing)之間有(you)(you)蒂相(xiang)連(lian),常(chang)合(he)(he)并(bing)有(you)(you)宮(gong)頸(jing)(jing)(jing)肥(fei)大(da)(da)。檢查(cha)時可(ke)(ke)(ke)以看到(dao)宮(gong)頸(jing)(jing)(jing)表(biao)面突出(chu)(chu)多(duo)個大(da)(da)小不(bu)(bu)(bu)一(yi)的(de)(de)黃白(bai)(bai)色囊(nang)(nang)泡,內含(han)黏(nian)液,小的(de)(de)有(you)(you)米粒大(da)(da),大(da)(da)的(de)(de)有(you)(you)玉米粒大(da)(da)。宮(gong)頸(jing)(jing)(jing)囊(nang)(nang)腫是宮(gong)頸(jing)(jing)(jing)炎(yan)(yan)慢性病(bing)變的(de)(de)一(yi)種,多(duo)數(shu)無(wu)(wu)明(ming)顯(xian)癥(zheng)狀,而(er)伴(ban)隨宮(gong)頸(jing)(jing)(jing)炎(yan)(yan)發(fa)(fa)作(zuo)時的(de)(de)主要表(biao)現為白(bai)(bai)帶增多(duo),由于病(bing)原體不(bu)(bu)(bu)同,白(bai)(bai)帶的(de)(de)顏色、量、性狀等(deng)也有(you)(you)所不(bu)(bu)(bu)同。白(bai)(bai)帶可(ke)(ke)(ke)為黏(nian)稠(chou)、膿性,少數(shu)有(you)(you)時可(ke)(ke)(ke)帶有(you)(you)血絲或(huo)少量血液,極少數(shu)也可(ke)(ke)(ke)有(you)(you)接觸性出(chu)(chu)血。如伴(ban)發(fa)(fa)盆(pen)腔炎(yan)(yan)則可(ke)(ke)(ke)出(chu)(chu)現下腹或(huo)腰骶疼痛,或(huo)痛經。無(wu)(wu)癥(zheng)狀可(ke)(ke)(ke)以觀察,定(ding)期宮(gong)頸(jing)(jing)(jing)刮片(TCT);或(huo)者用(yong)針刺破(po),涂以碘(dian)伏;伴(ban)發(fa)(fa)炎(yan)(yan)癥(zheng)則相(xiang)應治(zhi)(zhi)療炎(yan)(yan)癥(zheng);也可(ke)(ke)(ke)物理治(zhi)(zhi)療,如微波、激光、冷(leng)凍、電熨等(deng)。如不(bu)(bu)(bu)伴(ban)發(fa)(fa)其他情況(如宮(gong)頸(jing)(jing)(jing)病(bing)變等(deng)),一(yi)般(ban)不(bu)(bu)(bu)建議行陰(yin)道鏡檢查(cha)或(huo)LEEP等(deng)治(zhi)(zhi)療。也可(ke)(ke)(ke)用(yong)中藥(yao)(yao)的(de)(de)外(wai)用(yong)藥(yao)(yao)物上藥(yao)(yao)治(zhi)(zhi)療。宮(gong)頸(jing)(jing)(jing)囊(nang)(nang)腫一(yi)般(ban)無(wu)(wu)癥(zheng)狀,發(fa)(fa)展很緩慢,可(ke)(ke)(ke)以觀察不(bu)(bu)(bu)予處理。對(dui)伴(ban)有(you)(you)嚴(yan)重宮(gong)頸(jing)(jing)(jing)炎(yan)(yan)的(de)(de)女(nv)性,可(ke)(ke)(ke)積(ji)極治(zhi)(zhi)療宮(gong)頸(jing)(jing)(jing)炎(yan)(yan)或(huo)采取物理治(zhi)(zhi)療。
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