妇科白带涂片超高倍显微镜检查结果分析

目的了解妇科生殖系统病原体的临床分布:包括加特纳杆菌(Gardnerella vaginalis GV)、霉菌(fungus)、阴道毛滴虫(Trichomonas vaginalis TV)、支原体(mycoplasma)、衣原体(Chlamydia)、革兰氏阴性双球菌(G-diplococcus)和纤毛菌(Lepto-trichia)。方法将宫颈拭子(swab)白带标本用生理盐水直接涂片,在超高倍显微镜下查找病原体,部分进行革兰氏染色检查,对各种病原体单纯感染和混合感染进行分析和统计。结果病原体总阳性率31.8%,其中单纯感染占72.6%,混合感染占27.4%。结论用超高倍显微镜检查白带,将有助于临床诊断和疗效观察、对流行病学调查也有很大意义,其检出率高,速度快,可以对妇科分泌物标本进行全面的病原体检查。

The Evaluation of leucorrhea results tested by ultramicroscopy

Objective To estimate the prevalence of fungus,Trichomonas vaginalis,Gardnerella vaginalis,mycoplasma,Chlamydia,G-diplococcus and Leptotrichia in women living in Jinan City.Method The vaginal swabs of 8917 women from Qianfoshan hospital were examined with pH paper and smeared slides respectively,then the slides were covered with coverglass.Some of the samples was smeared another slide for Gram stain.Pathogenic diagnosis was performed with ultramicroscopy.Result The results indicate a high prevalence among women of outpatients and inpatients.Total positive rate is 31.8 %,positive rate of single pathogen is 72.6%,manifold pathogens is 27.4%.Conclusion We conclude that ultramicroscopy is useful for various kinds of vaginitis prevalence study,and all women with vaginal itching need screen test.