635例阴道分泌物涂片检测结果分析

[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。

Analysis on detection for 635 cases of vaginal secretion

[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),Can...