BMJ Best Practice
最后审核时间: 六月 2019
最近更新时间: 一月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 子宫颈或阴道脓性分泌物
  • 排尿困难和尿频
  • 月经间期/性交后出血

其他诊断因素

  • 性交疼痛
  • 外阴和/或阴道炎症
  • 草莓样宫颈

危险因素

  • 年龄 15 至 25 岁
  • 不总是使用安全套
  • 多重性关系
  • 既往性传播感染 (STI)

诊断性检查

首要检查

  • 妊娠试验
  • 宫颈分泌物湿涂片检查
  • 核酸扩增试验 (NAAT)
  • 快速检测(OSOM 毛滴虫、AFFIRM VPIII)
全部具体信息

需要考虑的检查

  • 巴氏涂片检查
  • 单纯疱疹病毒(HSV)血清学
  • HIV 血清学
  • 乙型肝炎和丙型肝炎血清学
全部具体信息

治疗流程

贡献者

M. Jonathon Solnik MD, FACOG, FACS

Associate Professor of Obstetrics & Gynaecology

Head of Gynaecology & Minimally Invasive Surgery

University of Toronto Faculty of Medicine

Mount Sinai Hospital

Toronto

Canada

利益冲突披露
MJS serves as a consultant for Medtronic and on the advisory board for Abbvie.

Dr M. Jonathon Solnik would like to gratefully acknowledge Dr Sharon Jakus, a previous contributor to this topic. SJ declares that she has no competing interests.

同行评议专家 查看所有

Associate Professor and Chief

Gynecology and Reconstructive Pelvic Surgery

University of Chicago

Chicago

IL

利益冲突披露
SRV declares that she has no competing interests.

Associate Division Director

Gynecologic Oncology

Crozer Chester Medical Center

Upland

PA

利益冲突披露
JCC declares that he has no competing interests.

Consultant Physician

GUM/HIV Camden Primary Care Trust

Archway Sexual Health Clinic

London

UK

利益冲突披露
EJ declares that she has no competing interests.

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