What is Cervical Tissue Chronic Inflammation with Squamous Metaplasia?
Cervical chronic inflammation with squamous metaplasia refers to the condition where the squamous epithelium metaplasia can be observed on the normally columnar epithelium of the cervical surface. It is a chronic inflammatory condition of the cervix that requires timely treatment to prevent the occurrence of precancerous lesions.
1. Acute Cervicitis: The main treatment for acute cervicitis is antibiotics, with a focus on systemic treatment to ensure thorough eradication and prevent progression to chronic cervicitis.
(1) Empirical antibiotic treatment is recommended for patients with high-risk factors for sexually transmitted diseases (such as those younger than 25 years old, with multiple sexual partners or new sexual partners, and unprotected sexual intercourse) before obtaining the results of pathogen detection.
(2) Antibiotic treatment specific to the pathogen should be selected for patients with identified pathogens. Since gonococcal infection is often accompanied by chlamydial infection, patients with gonococcal cervicitis should be treated with both anti-gonococcal and anti-chlamydial drugs.
(3) Management of sexual partners: If the pathogen of cervicitis is Chlamydia trachomatis or Neisseria gonorrhoeae, their sexual partners should also undergo appropriate examination and treatment.
2. Chronic Cervicitis: The treatment of chronic cervicitis mainly focuses on local therapy, with different treatment methods used for different lesions.
(1) Chronic Cervical Mucositis: For persistent cervical mucosal inflammation, it is necessary to investigate whether there is reinfection with Chlamydia trachomatis or Neisseria gonorrhoeae, whether the sexual partner has been treated, and whether vaginal microbial imbalance persists. Treatment should be targeted at the underlying cause. For cases with unclear pathogens, effective treatment methods are not yet available, and physical therapy such as electrotherapy, laser therapy, cryotherapy, microwave, and infrared can be tried. Herbal medicine treatment or adjuvant therapy before and after physical therapy can also be considered. However, cervical intraepithelial neoplasia and cervical cancer must be screened and excluded before treatment. For severe erosion or persistent cases that do not respond to treatment, cervical conization may be considered.
(2) Cervical polyps: Polypectomy should be performed, and the removed polyps should be sent for histopathological examination.
(3) Cervical hypertrophy generally does not require treatment.
