1200例不孕妇女阴道分泌物的感染情况分析

目的了解门诊不孕妇女阴道分泌物的病原学及合并感染情况。方法用湿片法进行阴道分泌物及细菌性阴道病(BV)检查;革兰氏染色法检查G-双球菌;用Unipath有限公司沙眼衣原体检测试剂合(免疫层析法)进行衣原体检测;用江门市凯林贸易有限公司支原体选择鉴定培养基进行支原体检测。结果1200例不孕妇女中,其阴道分泌物假丝酵母菌阳性65例,阳性率5.42%;阴道毛滴虫阳性2例,阳性率0.17%;细菌性阴道病(BV)187例,阳性率15.58%;G-双球菌16例,阳性率1.33%。衣原体、支原体阳性共322例,总感染率为26.83%。主要的混合感染:假丝酵母菌+BV:14例(1.17%);UU+BV:11例(0.92%);UU+CT:9例(0.75%)。假丝酵母菌+UU:9例(0.75%)。结论不孕妇女阴道分泌物的病原体构成复杂,UU、CT、BV、和外阴阴道假丝酵母菌病为主要病原体、病因。

Analysis of the Infection of Vaginal Discharge from 1200 Infertile Women

Objective To understand the etiology and complicated infection of vaginal discharge from outpatient infertile women. Methods To check vaginal discharge and detect bacterial vaginosis (BV) by the method of salt-solution; to detect gram negative diplococcus by the method of gram stain; to detect chlamydia with Chlamydia Detection Kit from Unipath Limited Company by immunochromatographic method; to detect mycoplasma with Mycoplasma Selective Identification Medium from Jiangmen Kailin Trade Limited Company. Results Among 1 200 infertile women,the number of candida mycoderma bacteria positive women was 65,positive rate was 5.42%; the number of trichomonas vaginalis positive women was 2,positive rate was 0.17%; the number of bacterial vaginosis positive women was 187,positive rate was 15.58%; the number of gram negative diplococcus positive women was 16,positive rate was 0.89%; the number of mycoplasma or chlamydia positive women was 322,the total positive rate was 26.83%. The main complicated infection included 14 cases of candida mycoderma bacteria complicated with BV,11 cases of mycoplasma complicated with BV,9 cases of mycoplasma complicated with chlamydia; 9 cases of candida mycoderma bacteria complicated with mycoplasma. Conclusion The etiological composition of vaginal discharge from infertile women is complicated,mycoderma,chlamydia,BV and candida mycoderma bacteria are main pathogen.