微生物学检验联合阴道分泌物六联检验在念珠菌阴道炎诊断中的应用价值

The diagnostic potential of combining microbiological examination with a six joint tests for vaginal secretion for the detection of candida in vaginal secretions

目的探讨微生物学检验联合阴道分泌物六联检验在诊断念珠菌阴道炎中的价值。方法选取300例疑似念珠菌阴道炎患者为研究对象,分别开展微生物学检验、阴道分泌物六联检验。以病理组织学检查为金标准,比较微生物学检验、阴道分泌物六联检验及联合检验对念珠菌阴道炎的诊断效能。结果联合检验的敏感度高于阴道分泌物六联检验、微生物学检验,阴道分泌物六联检验的敏感度高于微生物学检验(P<0.05);阴道分泌物六联检验、微生物学检验、联合检验的特异度比较,差异无统计学意义(P>0.05);联合检验的准确率高于微生物学检验(P<0.05),阴道分泌物六联检验与联合检验准确率比较,差异无统计学意义(P>0.05)。结论阴道分泌物六联检验对念珠菌阴道炎的诊断效能优于微生物学检验,但两者联合可提高诊断的敏感度和准确率,值得临床推广。

Objective To explore the value of microbiological test combined with vaginal secretion six-way test in the diagnosis of candida vaginitis.Methods 300 patients suspected of candida vaginitis were selected as the study objects,and the six tests of microbiological examination and vaginal secretion were carried out respectively.Using histopathological examination as the gold standard,the diagnostic efficacy of microbiological examination,vaginal secretions six-part test and combined test in candida vaginitis was compared.Results The sensitivity of the combined test was higher than that of the six-test and microbiological test,and the sensitivity of the six-test was higher than that of the microbiological test(P<0.05).There was no significant difference in the specificity of six tests,microbiological tests and combined tests of vaginal secretion(P>0.05).The accuracy of the combined test was higher than that of the microbiological test(P<0.05),but there was no significant difference between the six combined tests and the combined tests(P>0.05).Conclusion The diagnostic effcacy of vaginal secretions sixtest is better than that of microbiological test for candida vaginitis,but the combination of the two can improve the sensitivity and accuracy of diagnosis,and is worthy of clinical promotion.