评价2种方法在检测阴道分泌物中的价值

Evaluation the value of two methods in detecting vaginal secretions

目的评价镜检法和五联检法在检测阴道分泌物中的准确性和优缺点。方法收集该院妇科门诊、住院和体检中心共计467份阴道分泌物标本,同时采用镜检法和五联检法进行真菌、滴虫、白细胞、线索细胞、乳酸杆菌检测,对比2种方法在检测真菌、滴虫、白细胞、线索细胞、乳酸杆菌中的阳性检出率、灵敏度、特异度和符合率,评价2种方法在检测阴道分泌物中的准确性和优缺点。结果 2种方法在白细胞、线索细胞、乳酸杆菌阳性检出率方面差异无统计学意义(P>0.05);在真菌、滴虫阳性检出率方面差异有统计学意义(P<0.05);五联检法在检测真菌、滴虫、白细胞、线索细胞、乳酸杆菌的灵敏度分别为94.38%、97.44%、90.60%、91.59%、93.52%;特异度分别为95.50%、97.89%、93.08%、94.82%、87.27%;总符合率分别为95.29%、97.85%、92.29%、94.00%、90.58%。结论 2种方法在检测阴道分泌物中各有其优缺点,五联检法操作简便,灵敏度和特异度高,结果准确。

Objective To evaluate the detection accuracy ,the advantages and disadvantages of the microscopic examination and vaginitis five joint inspection method in detecting vaginal secretions .Methods A total of 467 vaginal secretion samples were collect‐ed in Yulin Hospital of Traditional Chinese Medicine .Mycete ,trichomonad ,leukocytes ,clue cell ,lactobacillus were detected by u‐sing microscopic examination and vaginitis five joint inspection method ,and the positive rate ,sensitivity ,specificity and coincidence of the two methods were compared .Results The positive detection rates of the two methods had no statistically significant differ‐ence （P〉 0 .05） in detecting leukocytes ,clue cell and lactobacilli ,but had significant difference on detecting mycete and trichomonad （P〈 0 .05） .The sensitivities of vaginitis five joint inspection method in detecting mycete ,trichomonad ,leukocytes ,clue cell and lac‐tobacillus were 94 .38% ,97 .44% ,90 .60% ,91 .59% ,93 .52% ,the specificities were 95 .50% ,97 .89% ,93 .08% ,94 .82% , 87 .27% ,the total coincidence rates were 95 .29% ,97 .85% ,92 .29% ,94 .00% ,90 .58% .Conclusion Both methods detecting vagi‐nal secretions have their advantages and disadvantages ,vaginitis five joint inspection method because has simple operation ,high sen‐sitivity ,specificity and accurate .