外阴阴道假丝酵母菌病对妊娠结局的影响

The influence of vulvovaginal candidiasis on the pregnancy outcomes

目的：了解外阴阴道假丝酵母菌病（vulvowginal candidiasis，VVC）的发生率，胎膜早破、产褥感染的情况。方法：2005年11月。2006年6月对深圳市罗湖区妇幼保健院在定期产检的孕中晚期385例孕妇行阴道假丝酵母菌涂片、培养；并进行随诊；其中有178例分娩，20例胎盘送病理检查。结果：妊娠期VVC发病率20．78％（80／385）。给予治疗的43例，来治疗的103例，孕期VVC治疗与不治未增加胎膜早破的发生及产褥感染的发生。胎盘假丝酵母菌携带者病理表现急性炎症。结论：孕期感染VVC对胎膜早破和产褥感染的发生影响不大，但未治疗的胎盘为急性炎症易致子宫内膜炎症。

Objective： To investigate the incidence of vulvovaginal candidiasis （VVC） during pregnancy and the influence of vulvovaginal candidiasis on fetal membranes and puerperal infection. Methods： Vaginal discharge samples of 385 gravida were examined in maternal and child health care hospital of Luohu district from 2005,3 to 2005, 8 by smeared and cultured for fungus to follow up. Of 178 deliveries, 20 cases received placenta pathological examination. Results： The incidence of VVC was 20.78%. The rates of premature rupture of membrane and puerperal infections were not higher in VVC treated and un - treated groups. Pathological examination of the placenta of the fungus - carrier confirmed it to be acute infection. There were 13 cases lochias of un - treated group last for 35 to 45 days, 6 cases neonatus infection. Conclusion： There was no significant influence of vulvovaginal candidiasis on fetal membranes and puerperal infection, un -treated placentitis could lead to endometritis.