含光滑念珠菌与白色念珠菌白带的比较分析  

Comparative analysis of leucorrhea containing Candida glabrata or Candida albicans

作　　者：彭俊[1] 顾敏[1] 盛桂芳[1] 周家玉[1] 

机构地区：[1]湖南省株洲市一医院检验科,412000

出　　处：《检验医学与临床》2011年第1期22-23,共2页Laboratory Medicine and Clinic

摘　　要：目的分析女性含白色念珠菌和光滑念珠菌白带的性状及镜下特征,以便认识并区分这两类念珠菌所引起的妇科感染。方法连续选取2000例做白带检查的妇科门诊患者,询问患者的典型症状并观察单纯含念珠菌妇科涂片的镜下特征,用显色培养基对白带内的真菌进行鉴定,比较分析白色念珠菌组与光滑念珠菌组的差异。结果共检出476例含念珠菌标本,其中白色念珠菌393例,光滑念珠菌60例,其他念珠菌23例。白色念珠菌与光滑念珠菌阴道感染患者均表现出较高的性交痛症状。与白色念珠菌比较,光滑念珠菌组白带无豆渣样改变,患者少见外阴瘙痒;高倍视野下白细胞数量较少,上皮细胞、乳酸杆菌及真菌孢子数量较多,清洁度较好。结论含光滑念珠菌白带与白色念珠菌白带比较具有较为明显的差异,光滑念珠菌感染后患者临床症状及白带镜下特征均无白色念珠菌典型。Objective To analyze the microscopic feature and the character of leucorrhea containing Candida glabrata or Candida albicans, so as to know and discriminate vaginitis infected by these two kinds of Candida. Methods 2000 outpatients from department of gynecology were continuously selected. The typical clinical symptoms were inquired,and the microscopic characters of leucorrhea containing Candida glabrata or Candida albicans were observed from these outpatients. Candida detected from leucorrhea was identified by chromogenic medium, and at last the difference were analyzed between Candida glabraia group and Candida albicans group. Results 476 specimens contai- ning Candida were detected, including 393 strains of Candida albicans, 60 strains of Candida glabrata and 23 other strains of Candida. There were frequent symptom of algopareunia in vagina infected by Candida albicans or Candida glabrata. However, compared to Candida albicans group, leucorrhea from Candida glabrata group did not have the feature of bean dregs, the patients had seldom pruritus vulvae, furthermore, Candida glabrata group had little leukocyte, more epithelial cell,more lactobacilli,more fungal spore and better cleaness at high magnification. Conclusion There are visible difference between the smears containing Candida glabrata and Candida albicans from leucorrhea. The clinical symptoms and leucorrhea＇s microscopic characters in the patients infected by Candida glabrata are not as typical as by Candida albieans.

关 键 词：白带 光滑念珠菌 白色念珠菌 对比研究 

分 类 号：R379.4[医药卫生—病原生物学]