635例阴道分泌物涂片检测结果分析

Analysis on detection for 635 cases of vaginal secretion

关键词:  阴道分泌物  染色检查  清洁度  念珠菌  线索细胞

Key words:  vaginal secretion  staining detection  cleaning degree  Candida albicans  clue cells

摘要:

［目的］探讨阴道分泌物涂片作为女性妇科常规筛查指标在正常人群健康体检中的意义。［方法］选取大连医科大学女性职工635人，由体检中心妇科医生采取阴道分泌物标本直接涂片，干燥后由专业医检人员采用多功能染色液做染色检查，由显微镜在一张涂片上同时作滴虫、念珠菌、纤毛菌、线索细胞、阴道清洁度等检查。［结果］清洁度（Ⅲ~Ⅳ度）检出298例（47%）；念珠菌检出18例（3%），线索细胞检出77例（11%）；滴虫未检出；混合感染4例（0.6%）。清洁度（Ⅰ~Ⅱ度）组与清洁度（Ⅲ~Ⅳ度）组比较，念珠菌检测结果后者明显高于前者，差异有非常显著性意义（P<0.005）；线索细胞检出结果后者高于前者，差异有显著性意义（P<0.05）；混合感染后者高于前者，差异无显著性意义（P>0.05）。清洁度（Ⅲ~Ⅳ度）检出数25~50岁组与51~89岁组比较，前者明显高于后者，差异有非常显著性意义（P<0.005），而比较两组念珠菌及线索细胞检出数前者高于后者，但差异无显著性意义（P>0.05）。［结论］女性阴道分泌物涂片作为妇科常规体检项目，有利于及时发现疾病和早期治疗，对成年女性定期进行体检是非常有必要的。

Abstract:

［Objective］ To discuss the significance of smears of vaginal secretions in the health examinations as screening standard of gynecological routine item. ［Methods］ Six hundred and thirty-five female employees of the Dalian Medical University were selected. The gynecologist in the medical examination center obtained the vaginal secretions and smeared slides directly. The dry smears were dyed by professional lab assistant using multifunctional staining solution. Then, the inspections of Trichomonas vaginalis (TV), Candida albicans; vaginal leptothrix, Gardherella vaginalis (GV) and cleaning degree were carried out by light microscope. ［Results］ Two hundred ninety-eight cases of the Ⅲ~Ⅳ cleaning degree were checked out. Eighteen cases of monilial vaginitis and 77 cases of GV were confirmed. None of TV was detected. Four cases had combined infection. Compared the two groups of Ⅰ~Ⅱ and Ⅲ~Ⅳ cleaning degree, the latter had more monilial vaginitis than the former obviously (P<0.005). Moreover, the latter had more clue cells (P<0.05) and mixed infection (P>0.05) than the former. If two groups of 25~50 year-old and 51~89 year-old were compared, the former was more in Ⅲ~Ⅳ cleaning degree than the latter (P<0.005) and more in monilial vaginitis and clue cells than the latter (P>0.05). ［Conclusion］ The smears of vaginal secretions as gynecological routine item of health examination are very important to locate the diseases in time and for early treatment. It is very necessary for adult female to take periodic health examination.