细菌性阴道病联合检测技术在阴道感染诊断中的应用

Application of bacterial vaginosis detection technology in diagnosis of vaginal infection

目的探讨细菌性阴道病(BV)联合检测技术在阴道感染诊断中的应用价值。方法取2009年9月至2010年2月至苏州市木渎人民医院妇科门诊就诊的6 500例育龄期妇女阴道分泌物,分别对霉菌、滴虫、清洁度进行生理盐水涂片的检测与过氧化氢、唾液酸苷酶和白细胞酯酶三项联合测定。结果应用湿片镜检发现霉菌性阴道炎1 274例,阳性率为19.6%,滴虫性阴道炎195例,阳性率为3.0%。应用BV三项联合技术测定6 500例患者的阴道分泌物,BV阳性1 612例,阳性率为24.8%,其中BV合并霉菌性阴道炎感染465例,占BV发病的28.9%,BV合并滴虫感染79例,占BV发病的4.9%。结论三项联合检测技术操作简单、快速、准确,从功能学分别反映阴道正常菌和致病菌的指标,可与白带常规镜检互补,建议作为阴道分泌物常规检查对阴道感染进行筛查。

Objective To investigate diagnostic value of BV detection technology in diagnosis of vaginal infection.Method 6 500 cases form Sep.2009 to Feb.2010 had been tested not only by united three detections but also by wet plate microscopy of physiological saline on detecting mycetes,infusorium and the cleaness.Result There were 1 274 cases of colpomycosis,with 19.6% positive rate,195 cases of trichomonas vaginitis,with 3.0% positive rate.There were 1 612 cases of BV with 24.8% positive rate by united three detection technology.There were 465 cases infection of colpomycosis with 4.9% positive rate and 79 cases infection of trichomonas vaginitis with 4.9% positive rate in those BV.Conclusion Three detections are easy operation,high speed and accuracy.It can help diagnose bacterial vaginosis with reflecting the function of normal flora and pathogenic bacteria in vagina as leukorrhea rouitne determination.