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确定阴道涂片和宫颈涂片检查诊断细菌性阴道病的敏感性和特异性。方法对196例(包括94例细菌性阴道病)育龄期未孕患者进行阴道分泌物涂片及宫颈涂片检查,显微镜下观察计数细菌形态及数量。结果以临床诊断为标准,阴道涂片和宫颈涂片诊断细菌性阴道病的敏感性和特异性分别为94.7%(89/94)、98.0%(100/102)和85.1%(80/94)、95.1%(97/102)。细菌性阴道病的涂片特征为阴道加德纳菌、类杆菌形态及革兰变异弯曲弧菌形态的小细菌占优势,并且乳酸杆菌形态细菌缺乏。结论应用阴道涂片及宫颈涂片检查诊断细菌性阴道病,使筛查和及时治疗细菌性阴道病成为可能。
To determine the sensitivity and specificity of vaginal smears and cervical smears to diagnose bacterial vaginosis. Methods 196 cases (including 94 cases of bacterial vaginosis) of non-pregnant women of childbearing age vaginal discharge smear and cervical smear, counting and counting under the microscope bacterial morphology and quantity. Results The sensitivity and specificity of vaginal smears and cervical smears for the diagnosis of bacterial vaginosis were 94.7% (89/94), 98.0% (100/102) and 85.1 % (80/94), 95.1% (97/102). Bacterial vaginosis smear characteristics of Gardnerella vaginalis, Bacteroides form and Gram-negative Vibrio anguillarum bacteria form the dominant, and the lack of bacteria in the form of Lactobacillus. Conclusion The application of vaginal smear and cervical smear diagnosis of bacterial vaginosis, screening and timely treatment of bacterial vaginosis possible.