1936例儿童外阴阴道炎症状与病原体分析

Analysis of Symptoms and Pathogens in 1 936 Children with Vulvovaginitis

目的:分析儿童外阴阴道炎的临床表现与病原体构成。方法:观察1 936例患有外阴阴道炎儿童的临床表现,取外阴阴道分泌物进行革兰氏染色涂片、支原体培养、淋病奈瑟菌培养、念珠菌培养和沙眼衣原体抗原检查。结果:儿童外阴阴道炎主要症状有外阴红斑、瘙痒、疼痛、阴道分泌物增多。病原学检查阳性结果分别是1 782例细菌、442例支原体、157例念珠菌、32例淋病奈瑟菌;8例同时培养出念珠菌和支原体;23例沙眼衣原体抗原阳性;154例无病原体。结论:儿童外阴阴道炎表现多样,从外阴阴道分泌物中可检测出细菌、淋病奈瑟菌、衣原体、支原体、念珠菌等病原体,应根据检测结果使用合适药物以提高治愈率。

Objective ：To analyze the clinical manifestations and pathogens children. Methods：The clinical manifestations of 1 936 children patients who vovaginitis were observed. Gram smear, mycoplasma culture, Neisseria of vulvovaginitis in presented with vul- gonorrhoeae gal culture and Chlamydia trachomatis antigen testing of vaginal discharge form 1 935 culture, fun- children pa- tients were performed. Results：The main symptoms of children vulvovaginitis were vulvar erythe- ma, vaginal discharge, pruritus and pain. Bacteria were found from 1 782 cases. Mycoplasma, fungi and Neisseria gonorrhoeae were isolated from 442 cases, 157 cases and 32 cases, respective- ly. Candida and mycoplasma were both positive in 8 cases. Chlamydia trachomatis antigen were positive in 23 cases. 154 cases found none. Conclusion：The manifestations of vulvovaginitis in children are variety. Bacterial, Neisseria gonorrhoeae, chlamydia, mycoplasma, fungi can be found from vaginal discharge. To select appropriate drugs according the testing results will improve the cure rate.