需氧菌阴道炎/细菌性阴道病联合测定技术诊断需氧菌性阴道炎的临床价值

Clinical value of diagnosing aerobic vaginitis by aerobic vaginitis/bacterial vaginosis combined determination technology

目的探讨需氧菌阴道炎/细菌性阴道病联合测定技术诊断需氧菌性阴道炎(AV)的临床价值。方法分别采用镜检法和需氧菌阴道炎/细菌性阴道病联合测定技术对200例疑似AV患者进行检测。结果在200例疑似AV患者中,镜检法检出阳性患者174例,需氧菌阴道炎/细菌性阴道病联合测定法检出阳性患者169例。以镜检法为诊断标准,需氧菌阴道炎/细菌性阴道病联合测定技术的敏感性为94.83%、特异性为84.62%。两种方法的符合率为93.50%[(165+22)/200],两者呈中度一致性(Kappa=0.735,P>0.05)。结论需氧菌阴道炎/细菌性阴道病联合测定技术诊断AV具有很高的敏感度和特异度,与目前临床使用的常规镜检法符合率高,且该方法操作简便、快速,值得临床推广使用。

Objective To discuss the clinical value of diagnosing aerobic vaginitis （AV） by aerobic vaginitis/bacterial vaginosis combined determination technology. Methods Detection 200 suspected AV patients by microscopic method and aerobic vaginitis/bacterial vaginosis combined determination technology. Results Among 200 suspected AV patients, there were 174 positive patients by microscopic method, there were 169 positive patients by aerobic vaginitis/bacterial vaginosis combined determination technology. With microscopic method as a standard, the sensitivity of aerobic vaginitis/bacterial vaginosis combined determination technology was 94.83%, the specificity was 84.62%. Conformity of two methods was 93.50% [ （165 ＋ 22）/200], and they also showed moderate consistency （ Kappa = 0. 735, P 〉 0.05 ）. Conclusion Aerobic vaginitis/bacterial vaginosis combined determination technology has high sensitivity and specificity for diagnosing AV, it has high coincidence rate compare to micro- scopic method used by clinic now, and this technology is simply practised and quick, it is worth that using widely by clinic.