人工流产术前女性阴道微生态的检测及临床价值

Detection and clinical value of vaginal microecology in the women before induced abortion

目的探讨人工流产术前女性阴道的微生态状况及微生态检测的临床意义。方法选取2012年10月~2013年10月在本院妇产科门诊就诊拟行人工流产术的早孕女性604例,术前采集阴道分泌物并通过革兰氏染色法和阴道pH试纸法进行阴道微生态检测。结果 604例欲行人工流产术女性中阴道微生态失调者为230例（38.1%）,其中假丝酵母菌阳性88例（14.6%）,阴道毛滴虫阳性22例（3.6%）;Nugent评分正常461例（76.3%）;细菌性阴道病中间型31例（5.1%）,细菌性阴道病112例（18.5%）;阴道优势菌以革兰氏阳性大杆菌为主,为498例（82.4%）,革兰氏阳性球菌7例（1.2%）,革兰氏阴性短杆菌99例（16.4%）。结论早孕期人工流产前阴道微生态失调率较高,阴道微生态评价体系能明确指导临床诊断阴道感染,并为围术期的合理治疗提供依据。

Objective To investigate the microecological condition in the women before induced abortion and the clini- cal value of mieroeeological evaluation.Methods A total of 604 women who requested for a induced abortion were re- cruited in our hospital from October 2012 to October 2013 and the samples of vaginal secretion were collected.The vaginal microeeology was detected by Gram staining and pH based on vaginal secretion was collected before the opera- tion.Results 230 women showed microecological disturbance in 604 （38.1%） cases,88 （14.6%） cases were infected by Candida,22（3.6%） cases were infected by Trichomonas Vag/na//s.Nugent grading showed 461（76.3%）cases were normal, 31 （5.1%）cases were BV middle type,ll2 （18.5%）cases were BV type.The dominant bacterium was gram-positive big bacillus,accounted for 498（82.4%）cases,gram-positive coccus accounted for 7（1.2%）cases,gram-negative small bacillus accounted for 99 （16.4%）cases.Conclusion There is a high vaginal microecological imbalance rate in women before in- duced abortion,the microecological evaluation of vaginal microflora may instruct the perioperative treatment.