患者主诉有水样白带,有时白带血性腥臭,结合“月经过多”,应考虑子宫内膜癌、子宫内膜息肉或子宫粘膜下肌瘤感染,以及子宫颈癌、子宫颈内膜息肉或粘膜下肌瘤、重度子宫颈糜烂等子宫疾患。根据白带的特征,还应考虑输卵管癌、卵巢癌累及输卵管、输卵管积水以及阴道的炎症或肿瘤等。因为患者未婚,虽可行肛腹诊检查,但不够满意,欲确诊还应用棉棒伸入阴道后穹窿作阴道脱落细胞学检查。如果有子宫内膜癌或宫颈癌,则阴道细胞 Patients complained of leucorrhea, sometimes bloody stench of white blood, combined with “menorrhagia”, should consider endometrial cancer, endometrial polyps or uterine submucous myoma infection, and cervical cancer, endometrial polyps or mucosa Under fibroids, severe cervical erosion and other uterine disorders. According to the characteristics of leucorrhea, tubal cancer should also be considered, ovarian cancer involving the fallopian tube, hydrosalpinx and vaginal inflammation or cancer. Because the patient is unmarried, though feasible abdominal examination, but not satisfied, to diagnose the application of cotton swab into the vaginal fornix vaginal cytology. Vaginal cells if there is endometrial or cervical cancer