检验尿道与阴道分泌物淋球菌对相关疾病的诊断价值

Diagnostic Value of the Urethra and Gonococcus Vaginalis Secretions for Related Diseases

目的:分析400例疑似淋病的尿道与阴道分泌物淋球菌检测结果以及其对相关疾病的诊断价值。方法:选取2021年1—12月郑州大学附属郑州中心医院实施诊疗的尿道炎、前列腺炎、宫颈炎、子宫结膜炎等存在化脓性病变的400例疑似淋病患者作为研究对象,对全部患者实施阴道、尿道分泌物培养诊断,对诊断结果和阳性群体进行分析。结果:本次淋球菌检测,400例患者共检出150例阳性,其中男性尿道分泌物65例,检出率为32.50%,前列腺分泌物25例,检出率为31.25%,精液5例,检出率为25.00%;女性宫颈分泌物34例,检出率为34.34%,结膜分泌物21例,检出率为100%。淋球菌阳性群体主要以18~30周岁青年群体为主,400例患者的整体检出率为45.22%,其中女性检出率较高为55.71%,而随着平均年龄的增加患者的阳性率逐渐降低。男性整体检出率为33.93%,女性整体检出率为37.50%。结论:淋球菌诊断在生殖系统感染性、化脓性炎症疾病中检测具有重要价值,通过对其诊断可以明确患者是否感染,以便于尽早开展针对性治疗;目前,郑州地区的淋球菌生殖系统感染者以女性为主,年龄集中于18~30周岁,疑似群体的感染率接近50%,建议针对化脓性的生殖系统感染、炎症予以淋球菌诊断。

Objective:To analyze the test results of urethral and vaginal secretions in 400 cases of suspected gonorrhea and their diagnostic value for related diseases.Methods:A total of 400 patients with suspected urethritis,prostatitis,cervicitis,uteroconjunctivitis,and others under the diagnosis of vaginal and urethral secretions from January to December 2021 in the hosptial were selected.Culture diagnosis of vaginal and urethral secretions was performed in all patients.The diagnostic results were analyzed.Results:A total of 150 cases were positive in 400 patients,including 65 male urethra secretions with detection rate of 32.50%,25 prostate secretions with detection rate of 31.25%,5 semen with detection rate of 25.00%;34 female cervical secretions with detection rate of 34.34%,21 cases of conjunctival secretions with detection rate of 100%.The positive group was mainly young people aged 18~30.The overall detection rate of 400 patients was 45.22%,among which the detection rate of women was higher,which was 55.71%,while the positive rate of patients gradually decreased with the increase of average age.The overall detection rate of men was 33.93%,and the overall detection rate of women was 37.50%.Conclusion:The diagnosis of gonococcal is of great value in the detection of suppurative inflammatory diseases,and the patient can be diagnosed to facilitate targeted treatment at early date.At present,the number of gonococcal reproductive infections in the area are mainly women,aged 18~30,and the infection rate of suspected population is close to 50%.It is recommended to diagnose gonococcal infection and inflammation.