阴道分泌物常规检查方法联合应用的分析

Diagnostic value of combination of routine methods in infectious vaginal diseases

目的 探讨阴道分泌物常规检查方法联合应用对感染性阴道疾病的诊断价值。方法 对500例阴道分泌物标本进行颜色和性状观察及湿片法、革兰染色法、胺试验和 pH值检查。结果 214例清洁度Ⅰ°和Ⅱ°的标本,58例(27.1%)查出霉菌和滴虫,500例阴道分泌物标本经革兰染色后,有91(18.2%)例线索细胞阳性,其中72例(79.1%)pH>4.5,且大部分有异常的颜色和性状及胺试验阳性。结论 革兰染色能提高感染性阴道疾病的诊断率;如增加 pH值和胺试验检测,可更准确诊断细菌性阴道炎。

Objective To explore the usefulness of combined routine methods in diagnosing infectious vaginal diseases .Methods Five hundreds samples of vaginal secret were observed with colour and consistency,followed by exams of wet mount,Gram stain, amine test and pH determination. Results Of 214 samples with clean degree l and ll, 58(27.1%)were detected to have fungus or/and trichomonads,after microscopic exam ination of Gram stain smear,were found to have other pathogens.Of 500 samples of vaginal secret,91(18.2%) were positive“clue cells” of them,72(79.1%) samples′s pH were>4.5,most of them had abnormal color and positive amine test results. Conclusion Diagnosis of infectious vaginal diseases can be improved by microscopic examination of Gram stain smear and more accurate by combination detection of pH value and amine test.