联合法对5种常见下生殖道感染的鉴别诊断

目的摘要：目的对比分析白带常规镜检法、细菌预成酶谱分析法及联合法对5种常见下生殖道感染鉴别诊断的有效率。方法分别采用白带常规镜检法、细菌预成酶谱分析法对来我院就诊的3420例患者的阴道分泌物进行检测。结果采用白带常规镜检检出阴道感染患者1636例，其中BV患者543例、VVC患者820例、TV患者225例、CV患者48例；采用细菌预成酶谱分析法检出阴道感染患者1078例，其中AV患者461例、BV患者617例；采用联合法检出阴道感染患者2171例，其中AV患者461例、BV患者617例、CV患者48例、TV患者225例、VVC患者820例。结论联合法集白带常规镜检法和细菌预成酶谱分析法的优点与一体，能够鉴别诊断5种常见下生殖道感染。

Differential diagnosis of five lower genital infections by using combined method

Objective To compare the efficiency of routine microscopic examination of leucorrhea, bacterial pre- formed enzyme spectrum analysis and combination of the two methods for differential diagnosis of five common lower reproductive tract infections. Methods Vaginal secretions of 3 420 women in our hospital were detected by using the routine microscopic examination and bacterial pre-formed enzyme spectrum analysis method. Results 1 636 patients with vaginal infections were detected by using the routine microscopic examination, in which the numbers of BV, VVC, TV and CV were 543, 820,225 and 48 respectively. 1 078 patients with vaginal infections were detected by using bacterial pre-formed enzyme spectrum analysis, in which the numbers of AV and BV were 461 and 617 respectively. 2 171 patients with vaginal infections were detected by using the combination of the two methods, in which the numbers of AV, BV, CV, TV and VVC were 461, 617, 48,225 and 820 respectively. Conclusion The combined method has the advantages of both routine microscopic examination and bacterial pre-formed enzyme spectrum analysis, and can differentially diagnose the five common lower genital tract infections.