海宁地区19519例女性生殖道感染情况分析及临床意义探讨

目的 通过对19 519例门诊阴道分泌物标本的检测，探讨阴道炎病原体的分布情况和定期进行阴道分泌物检查的意义。方法 通过显微镜镜检等方法检测19 519例阴道分泌物标本的清洁度、假丝酵母菌、线索细胞、滴虫等。结果 19 519例标本中，共检出阴道炎9 142例，占46.84%，病因不明的阴道炎占26.83%。假丝酵母菌、线索细胞及滴虫检出率分别为15.30%、3.84%、0.87%。各种病原体感染既可单独存在，也可混合感染。清洁度Ⅲ~Ⅳ度的患者中病原菌检出率明显高于І~Ⅱ度（P<0.05）。结论 阴道炎在门诊病例中的比例非常高，女性应定期进行阴道分泌物检查，并对育龄妇女和老年女性开展阴道感染防治健康教育以降低生殖泌尿系感染风险。

Clinical analysis on 19,519 cases of female genital tract infections in Haining area

Objective To explore the distribution of pathogens causing vaginitis and significance of regular vaginal examination．Methods The specimens of vaginal secretion of 19，519 women were detected in terms of the cleanliness，Candida，clue cells and trichomonas through microscopic examination．Results 9,142 cases（46.84%）were diagnosed as vaginitis among the 19，519 specimens．The vaginitis cases with unknown etiology accounted for 26.83%．The detection rates of fungi，clue cells and trichomonas were 15.30%，3.84% and 0.87%, respectively．There were single infections and mixed infections．The detection rate of pathogenic bacteria in patients with vaginal cleanliness of Ⅲ-Ⅳ was significantly higher than in those with cleanliness of І-Ⅱ（P<0.05）．Conclusion The proportion of vaginitis was very high in outpatient cases．Vaginal examination should be conducted on a regular basis for early diagnosis and treatment．Relevant health education is necessary for prevention and control of vaginal infection in women of childbearing age and elder women．