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【前庭大腺 Abscess Bartholin’s (Bartholin’s cyst)】

【前庭大腺】又稱【巴多林氏腺】,當陰道的前庭大腺發生阻塞時,就會出現前庭大腺囊腫。它是一種發生在婦科外陰前庭大腺的囊性疾病。它是由於腺體外開口堵塞,使腺體分泌物無法排出而形成的囊腫。它可能是由細菌感染引起的,也可能是由炎症本身引起的。這種阻塞會導致腫塊,在行走、坐著或性交時會引起刺激和疼痛。隨著時間的推移,前庭大腺囊腫可以自行消退。如果它被感染,可能需要由醫生治療。

前庭大腺是一對豌豆大小的腺體,位於圍繞陰道入口的嘴唇後面和兩側。這些腺體通常不明顯,因為它們的直徑很少超過 1 公分(0.4 英吋)。前庭大腺分泌液體,在性交過程中充當潤滑劑。 液體沿著稱為導管的細管進入陰道。

如果導管被堵塞,它們會充滿液體並擴張形成囊腫。人們通常不知道導管阻塞的原因,但有時它與性傳播細菌感染 (STI) 有關,例如淋病或衣原體,或其他細菌感染,例如大腸桿菌 (E. coli)。

本病多發生在生育年齡的婦女,多為單發。小型囊腫可無症狀,囊腫增大後,有墜脹感、性交不適等。囊腫感染時引起局部疼痛。檢查腫物位於前庭區,小陰唇的下半部,不與皮膚粘連,可移動。急性感染時,囊腫表面紅腫有壓痛,穿刺可抽出黏液,偶為漿液;如已化膿,則可抽出膿液。袋形縫合術是一種常見的手術方式。

診斷

  • 病史
  • 進行骨盆檢查
  • 從陰道或子宮頸採集分泌物樣本以檢測性傳染感染
  • 如果您已停經或年齡超過 40 歲,建議進行腫塊測試(活檢)以檢查是否有癌細胞

A Bartholin cyst develops when a blockage occurs in a Bartholin gland in the vagina. It is a cystic disease that occurs in the vulvar Bartholin gland in gynecology. It is a cyst formed due to the blockage of the outer opening of the gland, so that the secretion of the gland cannot be discharged. It may be caused by bacterial infection, or may be caused by inflammation itself. This blockage causes a lump that can cause irritation and pain during walking, sitting or sex. Bartholin cysts can resolve on their own over time. If it becomes infected, it may need treated by a doctor.

Diseases mostly occur in women who are conscious of fertility, and women who are pregnant and have infancy. The skin is not mucous and infected with abscesses, and the surface is not mucous and tender. Such as semi-purulent blood, the fluid can be aspirated; pus can be produced. A common surgical approach.

The Bartholin’s glands are a pair of pea-sized glands found just behind and either side of the lips that surround the entrance to the vagina.

The glands are not usually noticeable because they’re rarely larger than 1cm (0.4 inches) across.

The Bartholin’s glands secrete fluid that acts as a lubricant during sex. The fluid travels down tiny tubes called ducts into the vagina.

If the ducts become blocked, they can fill with fluid and expand to form a cyst.

It’s often not known why the ducts become blocked, but sometimes it’s linked to sexually transmitted bacterial infections (STIs), such as gonorrhoea or chlamydia, or other bacterial infections, such as Escherichia coli (E. coli).

Diagnose

  • Medical history
  • Perform a pelvic exam
  • Take a sample of secretions from your vagina or cervix to test for a sexually transmitted infection
  • Recommend a test of the mass (biopsy) to check for cancerous cells if you’re postmenopausal or over 40

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