巴氏腺囊肿和脓肿:最新情况

Shreyasee Das, Rahul Shil, Dhanpal H. N.
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摘要

巴氏腺是大前庭大腺,位于阴道口两侧。它们主要与男性的球部尿道腺或牛乳腺同源。这两个豌豆大小的腺体分泌的粘液对阴道润滑至关重要。巴氏腺囊肿是外阴部位最常见的充满液体的肿块之一。巴氏腺囊肿最初可能只是囊肿而无症状,但如果不及时治疗,可能会感染并导致手术矫正。巴氏腺囊肿和脓肿的发病率为每年每千人 0.5 例。女性的发病年龄主要在 35-50 岁之间。囊肿形成的原因是巴氏腺导管堵塞,进而导致潴留和囊肿扩张。该病主要由性传播感染引起。针吸术、切开术和引流术是最简单可靠的治疗方法,但由于复发率高而不被采用。巴氏腺囊肿会影响患者的生活质量,因为患者会感到行走不适、坐立和行走困难以及性交不适。大多数巴氏腺囊肿也是由感染会阴部位的微生物引起的。不过,巴氏腺囊肿好发于无阴道的育龄妇女。育龄妇女应接受有关该疾病的咨询,以便采取更好的预防措施来应对该疾病。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bartholin gland cyst and abscess: an updated scenario
Bartholin glands are greater vestibular glands and are located on either side of the vaginal opening. They are mainly homologous to the bulbourethral or cowper’s gland in males. These two pea-sized glands secrets mucus which is essential for vaginal lubrication. Bartholin gland cysts are one of the most frequent fluid-filled masses developing in the vulval area. They may develop as cysts first without symptoms, but if left untreated, they can be infectious and can lead to surgical corrections. The incidence rate of Bartholin gland cysts and abscesses is 0.5 per 1000 people per year. In women, it mainly affects aging between 35 and 50 years. The cysts formed due to blockage of the Bartholin gland duct, which further causes retention and cystic dilation. Mainly, the disease happens due to sexually transmitted infections. Needle aspiration, incision, and drainage are the easiest and most reliable treatment options, but they are not carried out due to their high recurrence rate. This Bartholin gland cyst can interfere with the quality of life as the person can suffer discomfort in walking, difficulty in sitting and walking, and discomfort during intercourse. Most of the Bartholin’s gland cysts are also caused by the microorganisms that infect the perineal area. However, Bartholin’s cyst occurs in nulliparous women of childbearing age. Women in the reproductive age group should get counselling regarding the disease to take better precautionary measures to tackle the condition.
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