实验室检查对阴道假丝酵母菌病的诊断价值

目的探讨实验室检查在阴道假丝酵母菌病中的诊断价值。方法对318例女性患者阴道分泌物进行了湿片法检查和革兰染色显微镜检查,并对阴道分泌物、宫颈分泌物及粪便分别进行了假丝酵母菌培养。结果其中89例患者阴道分泌物假丝酵母菌阳性。89例阴道假丝酵母菌阳性者,几乎全部存在肠道菌群失调。革兰染色镜检阴道分泌物的阳性率与培养法阳性率相比无统计学意义(P>0.05),但个别标本间两法阳性率存在差异。结论阴道分泌物革兰染色镜检与培养法联合检查,可大大提高假丝酵母菌的检出率。研究结果提示合理地应用和选择抗生素,能降低阴道假丝酵母菌的感染。

Diagnostic value of laboratory checks in vulvovaginal candidiasis

Objective To explore the diagnostic value of laboratory checks in vulvovaginal candidiasis.Methods 318 samples of vaginal secret were observed by wet mount, Gram stain and were cultured.Cervical discharge and stool were cultured.Results Vulvovaginal candida were positive in 89 cases.89 cases of positive vulvovaginal candida had gastrointestinal dysbacteriosis.The diagnostic value of Gram stain was as same as culture (P>0.05).Conclusion Detection rate of vulvovaginal candida can be improved by combined Gram-stain microscopic examination of vaginal discharge smear and culture of vaginal discharge.Proper use of antibiotics and avoiding long-term usage of antibiotics can reduce infection rate of vulvovaginal candida.