1069例妇科门诊女童阴道感染微生态状况分析

Microecological analysis of vaginal secretions in girl outpatients

目的了解当前本地区15岁以下女童患者外阴道感染微生态状况。方法对该院妇科就诊的1 069例15岁以下女童患者外阴道分泌物进行检查,检查指标有白细胞、假丝酵母菌、唾液酸苷酶以及存在于阴道中的球菌和杆菌分部情况。结果将15岁以下女童分为<1岁、≥1~5岁、≥5~10岁、≥10~15岁四组,镜检白细胞检出率分别为52.4%、33.6%、39.8%、30.3%,唾液酸苷酶阳性率分别为38.1%、43.1%、38.2%、11.2%,假丝酵母菌检出率分别为2.4%、0.0%、2.8%、11.2%,女童患者的阴道分泌物菌群中杆菌比球菌检出的相对要少。结论女童患者外阴道分泌物微生态状况检测对临床评价这些女童患者阴道微生态及对女童患者及时进行治疗,控制病情进一步加重以及其他并发症具有重要意义。

Objective To investigate the microecological status of vaginal microflora in outpatients under15 years old in Xiamen.Methods The vaginal secretions of 1 069 patients under 15 years old who visited the gynecology department of our hospital from 2015 to 2016 were detected for leukocytes,Candida,neuraminidase and cocci/bacilli ratio.Results The detection rate of leukocytes was 52.4%in the group of age1year,33.6%in the group of age≥1to 5years,39.8% in the group of age≥5to 10 years,and30.3%in the group of age≥10to 15years;the positive rates of neuraminidase were 38.1%,43.1%,38.2% and 11.2% respectively,while the infection rates of Candida were 2.4%,0.0%,2.8% and11.2% respectively in the four groups.The detection rate of bacilli was relatively lower than that of cocci.Conclusion The examination of the vaginal secretions of girls with vaginal infections is of great significance to the clinical evaluation of their vaginal microecology,timely treatments of vaginal infections,and prevention of disease progression and other complications.