某院女性阴道分泌物常规检查的临床分析

发布时间：2018-02-26 21:05

本文关键词： 阴道炎病原微生物阴道分泌物　出处：《重庆医学》2015年19期 　论文类型：期刊论文

【摘要】：目的通过对首诊女性阴道分泌物检查结果进行临床分析,了解某院女性阴道微生态状况。方法回顾2012年1~12月2 533例阴道分泌物常规检查结果,分析不同年龄及季节阴道分泌物病原微生物感染情况以及细菌性阴道病(BV)快速检测法的诊断价值。结果低清洁度标本(Ⅲ+Ⅳ)检出率较高,特异性病原中真菌检出率较高,病原菌中革兰阴/阳性短杆菌检出率最高。低清洁度标本检出率在小于或等于20岁年龄组及冬季最高(81.3%,73.0%),真菌检出率在21~30岁年龄组及夏季最高(23.9%,23.0%),革兰阴/阳性短杆菌检出率在31~40岁年龄组及冬季最高(25.1%,37.3%)。BV快速诊断(BV BLUETM)检测法与金标准符合率为87.5%,其灵敏度为80.0%、特异度为90.0%。结论该院女性阴道炎在年轻人群及冬季发病率较高,真菌及革兰阴/阳性短杆菌是主要的致病原。BV BLUETM检测法可辅助临床快速诊断BV,但要甄别假阴性/假阳性结果。
[Abstract]:Objective to first diagnosis of vaginal secretion examination results were retrospectively analyzed in a hospital, understand the vaginal microflora status of women. Methods from 2012 1~12 months in 2533 cases of routine vaginal examination results, analysis of different age and season of vaginal secretions of pathogenic microorganisms infection and bacterial vaginosis (BV) diagnostic value of rapid assay. Results low the cleanliness of the specimen (III + IV) high detection rate, detection rate of pathogenic fungi high specificity, pathogens in gram negative / positive bacillus had the highest detection rate. Low cleanliness of specimens in the detection rate of less than or equal to 20 year old age group and highest in winter (81.3%, 73%), the detection rate of fungi in 21~30 the age group and highest in summer (23.9%, 23%), gram negative Brevibacterium / positive detection rate in the 31~40 age group and highest in winter (25.1%, 37.3%) (BV BLUETM).BV rapid diagnosis method with the gold standard in line with the rate of 87.5% Its sensitivity is 80%, specificity is 90.0%.. Conclusion the incidence of vaginal vaginitis in young people and winter is high in this hospital. Fungi and gram-negative / positive bacilli are the main pathogens..BV BLUETM test can assist in the rapid diagnosis of BV, but it is necessary to identify false negative / false positive results.

【作者单位】：重庆医科大学附属大学城医院检验科;甘肃省庆阳市人民医院输血科;
【分类号】：R711.3

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