小结
鉴别诊断
常见
- 细菌性阴道病
- 滴虫病
- 外阴阴道念珠菌病
- 沙眼衣原体感染
- 淋病奈瑟菌感染
- 生殖支原体
- 刺激和变应性阴道炎
- 成人生理性分泌物
- 儿童异物
- 非特异性阴道炎
- 儿童生理性分泌物
不常见
- 单纯疱疹病毒 (HSV) 感染
- 成人链球菌性阴道炎
- 生殖器血吸虫病
- 齿龈内阿米巴加宫内节育器（Intrauterine device, IUD）
- 卫生条件不良
- 成人异物
- 与复方避孕药或含激素阴道环相关
- 绝经生殖泌尿综合征
- 产后萎缩性阴道炎；恶露
- 白塞综合征
- 脱屑性炎性阴道炎
- 糜烂型扁平苔藓
- 吊带/补片术后
- 放疗后
- 宫颈癌
- 输卵管癌
- 蛲虫感染
- 儿童链球菌性阴道炎
- 性虐待
- 母体产道感染传播
- 子宫肌瘤脱垂
- 阴道瘘
- 生殖道淋巴瘤
撰稿人
作者
Jenell S. Coleman, MD, MPH, FACOG
Associate Professor Division Director, Gynecologic Specialties Medical Director
JHOC Women’s Health Center Director
JHOC Resident Continuity Clinic Co-Director
JHOC Colposcopy Clinic
Department of Gynecology & Obstetrics
Johns Hopkins University School of Medicine
Baltimore
MD
利益声明
JC is an author of a reference cited in this topic.
鸣谢
Dr Jenell Coleman would like to gratefully acknowledge Dr Veronica Gomez-Lobo and Dr Isabelle Guichard, previous contributors to this topic.
利益声明
VGL and IG declare that they have no competing interests.
同行评议者
Susie Logan, MB ChB, MD, FRCOG, FFSRH
Senior Consultant, Department of Obstetrics and Gynaecology, National University Hospital, NUHS
Director of Residency Obstetrics and Gynaecology, National University Hospital, NUHS
Co-Lead for Women's Health, Alexandra Hospital
Assistant Professor, National University of Singapore
Singapore
利益声明
SL is a member of the Examination Committee of the Membership of the Faculty of Sexual and Reproductive Healthcare of the Royal College of Obstetricians and Gynaecologists.
David Chelmow, MD
Chair
Department of Obstetrics and Gynecology
Virginia Commonwealth University
Richmond
VA
利益声明
DC declares that he has no competing interests.
Lesley Bacon, FFSRH, MRCGP
Consultant in Sexual and Reproductive Health
Lewisham Primary Care Trust
Waldron Health Centre
London
UK
利益声明
LB was a member of the group that produced the 2006 Faculty of Sexual and Reproductive Health guidance on the management of women with vaginal discharge presenting in a non-genitourinary setting.
指南
- 英国国家滴虫性阴道炎处理指南 2021
- 2021 年欧洲生殖支原体感染管理指南
更多 指南患者教育信息
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