探讨阴道炎5联检试剂(Ⅱ代)对阴道感染诊断的意义

Exploration on the significance of vaginitis 5 combined-test diagnostic( Ⅱ) in the diagnosis of vaginosis

目的探讨阴道炎5联检试剂(Ⅱ代)的临床应用价值。方法对1 890例妇科门诊患者的阴道分泌物同时用阴道炎5联检试剂(Ⅱ代)检测和显微镜镜检,并接种念珠菌显色平板;乳酸杆菌、细菌性阴道病(BV)以革兰染色镜检为标准,白细胞和滴虫阴道炎(TV)以湿片镜检为标准,念珠菌性外阴阴道炎(VVC)以培养结果为标准。结果阴道炎5联检试剂(Ⅱ代)与相关标准比较,乳酸杆菌、白细胞、BV、TV和VVC符合率分别为88.68%、94.81%、95.66%、99.63%和92.75%;在白细胞、BV和TV检测方面,差异均无统计学意义(P>0.05);在乳酸杆菌和VVC方面,差异有统计学意义(P<0.05)。结论阴道炎5联检试剂(Ⅱ代)操作方便,结果准确客观,在临床上便于开展,基本能够满足临床检测的需要,具有一定的临床应用价值。

Objective To explore the clinical value of vaginitis 5 combined - test diagnostic （ II ）. Methods Vaginal secre- tions of 1 890 gynecological outpatients were tested with vaginitis multi tests and a microscope respectively, which were inoculated in Monilia chromogenie plates ; lactobaeillus and bacterial vaginosis （BV） were compared with Gram staining microscopic examination results, leukocyte and trichomonal vaginitis （TV） with wet microscopic examination results; candida vulvovaginitis （VVC） with culture method results. Results The coincidence rates of Lactobacillus, leukocyte, BV, TV and VVC were 88.68% , 94.81%, 95.66% , 99.63% and 92.75% , respectively, comparing this method with the related standards. On the detection results of leukocyte, BV and TV, there was no statistical significance on the difference （ P 〉 0.05 ） ; and on that of LactobaciUus and VVC, the difference had statistical significance （ P 〈 0.05 ）. Conclusion The vaginitis 5 combined - test diagnostic（ Ⅱ ） is simple to operate, easy to perform on the clinical and the detection results are accurate, which can meet the clinical detection needs and has certainly clinical value on application.