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目的研究复发性外阴阴道念珠菌病(RVVC)与支原体、衣原体感染的相关性,以提高对RVVC的治疗效果。方法对439例RVVC患者进行阴道分泌物涂片及宫颈管分泌物支原体、衣原体培养。结果RVVC患者阴道清洁度Ⅱ度、Ⅲ度、Ⅳ度,宫颈管分泌物培养支原体阳性率分别为13.4%、32.0%、45%(P<0.01),衣原体阳性率分别为0、20.8%、21%(P>0.05)。RVVC患者约30%左右并发支原体、衣原体感染,且随着RVVC患者阴道清洁度的增加,支原体、衣原体的感染率随之增加。结论对于RVVC患者应常规进行宫颈管分泌物支原体、衣原体检查,同时治疗并发感染,以达到最佳治疗效果。
Objective To study the relativity between recurrent vulvovaginal candidiasis (RVVC) and mycoplasma and chlamydial infection in order to improve the therapeutic effect of RVVC. Methods 439 cases of RVVC patients with vaginal secretions and cervical canal secretions Mycoplasma and Chlamydia culture. Results The positive rates of grade III, grade IV and degree of vaginal cleanliness of cervical canal secretions in patients with RVVC were 13.4%, 32.0% and 45%, respectively (P <0.01). The positive rates of chlamydia were 0,20.8% and 21 % (P> 0.05). About 30% of patients with RVVC complicated by Mycoplasma and Chlamydia infection, and with the vaginal cleanliness of RVVC patients increased, the prevalence of Mycoplasma and Chlamydia increased. Conclusion For patients with RVVC, cervical secretions mycoplasma and chlamydia should be routinely examined, and concurrent infection should be treated in order to achieve the best therapeutic effect.