广州医药 ›› 2015, Vol. 46 ›› Issue (2): 46-48.DOI: 10.3969/j.issn.1000-8535.2015.02.016

• 论著 • 上一篇    下一篇

阴道分泌物检查与细菌性阴道病的结果分析

卢丽明, 邱芳华, 刘军伟   

  1. 广州市中医医院检验科(广州 510130)
  • 收稿日期:2014-11-14 发布日期:2021-11-30

Analysis of Vaginal secretions and bacterial vaginosis results

Lu Liming, Qiu Fanghua, Liu Junwei   

  1. Department of Clinical Laboratory Guangzhou Hospital of Tradional Chinese Medicine,Guangzhou 510130,China
  • Received:2014-11-14 Published:2021-11-30

摘要: 目的 探讨妇女阴道健康状况及阴道分泌物清洁度、线索细胞及唾液酸酶法检测细菌性阴道病(BV)的相关性。方法 随机抽取2013年4月—2014年6月本院妇科疑似细菌性阴道病患者标本835例,分别采用生理盐水直接涂片及分泌物直接涂片进行革兰氏染色两者相结合检查清洁度、线索细胞;唾液酸酶法检测BV。结果 清洁度Ⅰ~Ⅱ占27.55%,BV阳性率为2.40%,线索细胞检出率1.32%;清洁度Ⅲ~Ⅳ占72.45%,病原菌阳性率为46.23%,其中BV阳性率为30.55%,线索细胞检出率为23.48%。结论 清洁度异常率比正常率偏高;清洁度正常不一定没有细菌性阴道病; BV的出现严重威胁妇女身体健康,正确的诊断有重要意义,唾液酸酶法检测BV虽有快速、操作简单、显色结果易判断,但温度、时间、取材问题等受多种因素影响。

关键词: 阴道分泌物, 清洁度, 线索细胞, 细菌性阴道病

Abstract: Objective To explore the correlation between the health of women's vagina and vaginal cleanness, clue cells and bacterial vaginosis(BV)which is tested by the sialic acid enzymatic method. Methods Randomly select 835 suspected cases of bacterial vaginosis in our hospital gynecology department in April 2013-June 2014. Every case was respectively done saline direct smear and vaginal secretion direct smear gram staining to check vaginal cleanness and clue cells. BV is tested by sialic acid enzymatic method. Results The cleanness of I-II accounted for 27.55%, BV positive rate was 2.40%, the positive rate of clue cells was 1.32%;the cleanness of degree III-IV accounted for 72.45%, the positive rate of pathogenic bacteria was 46.23%, the positive rate of BV was 30.55%, the positive rate of clue cells leads to 23.48%. Conclusion The rate of abnormal vaginal cleanness is higher than the normal.The nomal vaginal cleaness does not show no bacterial vaginosis. The emergence of BV seriously affects women's health, so the correct diagnosis is of great importance. Although the of the saliva acid enzyme to test BV is fast, operates easily and the color results are easily to be judged, but it can be influenced by other factors such as temperature, time, materials issues.

Key words: Vaginal secretions, Vaginal cleanness, Clue Cells, Bacterial vaginosis