500例疑似需氧菌性阴道炎患者阴道分泌物镜检和生化检测结果对比分析

目的探讨需氧菌性阴道炎（AV）生化检测法的临床应用价值。方法使用镜检和生化检测对500例疑似AV患者阴道分泌物进行检查,对检测结果进行对比分析。结果在500例疑似AV患者中,镜检法检出阳性患者409例,生化检测法共检出阳性患者414例。两种方法的诊断符合率为96.60%,二者呈中度一致性（Kappa=0.783,P〈0.05）。以镜检法为标准,生化检测法的敏感度为98.53%、特异性为87.91%。结论生化检测法对AV诊断具有很高的敏感度和特异度,且与镜检法符合率高,值得临床推广使用。

Contrast analysis on test result of vaginal secretions from 500 women with suspected aerobic vaginitis using both microscope and biochemical test

Objective To research clinical application value of biochemical test on diagnosing aerobic vaginitis(AV).Method Vaginal secretions from 500 women with suspected AV were tested using both microscope and biochemical test,and test result was analyzed in contrast.Result In 500 women with suspected AV,the number of positive women was 414 by using biochemical detection and 409 by using leucorrhea routine examination.The coincidence rate of two methods was 96.60%,which was moderate consistency(Kappa=0.783,P<0.05).Microscope test as the diagnostic criteria,sensitivity of biochemical detection method was 98.53%,and its specificity was 87.91%.Conclusion Biochemical detection method is highly sensitive and specific on diagnosing AV and have high coincidence rate with microscope,which is worthy of clinical application.