小结
定义
病史和体格检查
关键诊断因素
- 外阴/会阴肿块
- 外阴压迫感或胀感
- 坐位或行走时疼痛
其他诊断因素
- 发热
- 性交疼痛
- 外阴红斑和硬结
- 自发性破裂
危险因素
- 育龄妇女
- 既往有前庭大腺囊肿/脓肿病史
- 性活动
- 直接的外伤或手术
诊断性检查
需考虑的检查
- 脓液的显微镜检和培养
- 外阴病变活检
治疗流程
无症状的前庭大腺囊肿
有症状的前庭大腺囊肿
前庭大腺脓肿
撰稿人
作者
Colleen Kennedy Stockdale, MD, MS
Professor of Obstetrics and Gynecology
University of Iowa
Iowa City
IA
利益声明
CKS is on the Executive Board for ISSVD and is an Associate Editor for the Journal of Lower Genital Tract Disease. CKS is an author of a number of references cited in this topic.
Lori A. Boardman, MD, ScM
Professor of Obstetrics and Gynecology
University of Central Florida College of Medicine
Orlando
FL
利益声明
LAB declares that she has no competing interests.
鸣谢
Dr Colleen Kennedy Stockdale and Dr Lori A. Boardman would like to gratefully acknowledge Dr Laura K. Bonebrake, a previous contributor to this topic. LKB declares that she has no competing interests.
同行评议者
Robert Anderson, MB, MD, FRCOG
Consultant Gynaecologist
St Michael's Hospital
Bristol
UK
利益声明
RA declares that he has no competing interests.
Kevin Ault, MD
Associate Professor
Department of Gynecology and Obstetrics
Emory University School of Medicine
Atlanta
GA
利益声明
KA declares that he has no competing interests.
鉴别诊断
- 阴道前庭粘液性囊肿
- 外阴血肿
- 外阴纤维瘤
更多 鉴别诊断指南
- 插入球囊导管治疗前庭大腺囊肿或脓肿
更多 指南- 登录或订阅即可浏览 BMJ Best Practice 临床实践完整内容
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