尿沉渣白细胞计数和细菌计数对男性淋菌性尿道炎的诊断价值

The diagnosis significance of urinary leukocyte count and bacterium count for male gonococcal urethritis

目的探究尿沉渣白细胞计数和细菌计数对男性淋菌性尿道炎的临床诊断价值。方法选择2014年9月至2015年9月收治的60例疑似男性淋菌性尿道炎患者为研究对象,对所有患者进行尿沉渣白细胞计数和细菌计数诊断,并分析尿沉渣在男性淋菌性尿道炎患者中的诊断意义。结果患者革兰阴性双球菌细菌值为70.65(0.69~1 795.75)个/μL,低于革兰阳性球菌1 459.24(24.36~9 486.74)个/μL和革兰阴性杆菌的10 875.25(12.98~73 654.65)个/μL,差异具有统计学意义(P<0.05),涂片染色镜检阳性率为75.00%(45/60),同时诊断的敏感性、特异性、漏诊率、误诊率分别为95.56%、93.33%、4.44%、6.67%。结论尿沉渣白细胞计数和细菌计数在男性淋菌性尿道炎患者中具有一定诊断价值。

Objective To invesligale the diagnosis significance of urinary leukocyte count and baclerium count for male gonococcal urelhrilis. Methods Sixty cases of palienls who were suspected gonococcal urelhrilis in our hospilal from September 2014 lo September 2015 were selected as study objects. And all lhe palienls underwent urinary leukocyte count and baclerium count diagnosis. The diagnostic significance of urinary leukocyte count and baclerium count for male gonococcalurelhriliswasanalyzed. Results Thecounlofgramnegalivebacleriawas 70.65 （0.69？1 795.75）/滋 L,whichwas lowerlhan 1 459.24（24.36？9 486.74）/滋 Lofgramposilivecocciand 10 875.25 （12.98？73 654.65）/滋 Lofgramnegalivebacilli, and lhe difference between lhe lwo groups was significant （ P〈0.05）. The smear positive rale was 75.00% （45/60）, and lhe rale of sensitivity, specificity, lhe missed diagnosis and misdiagnosis were 95.56%, 93.33%, 4.44%, 6.67% respectively. Conclusion Urinary leukocyte count and baclerium count for male gonococcal urelhrilis have remarkable diagnosis value.