阴道分泌物瑞氏法与悬浮法检查结果比较  

The comparison of vaginal secretions examination results by Wright staining and suspension method

作　　者：凌晓午[1] 曾强武[2] 安邦权[1] 周湘红[1] 许筑[1] 孙辉[1] 谭燕[3] 李凤宇[4] 

机构地区：[1]贵州省人民医院检验科,贵阳550002 [2]贵阳中医学院第一附属医院检验科,贵阳550002 [3]贵阳医学院检验系,贵阳550004 [4]遵义医学院检验系,贵州遵义863003

出　　处：《重庆医学》2012年第31期3298-3299,共2页Chongqing medicine

基　　金：贵州省科学技术基金资助项目[黔科合J字(2009)2168]

摘　　要：目的对比瑞氏染色法和悬浮法阴道分泌物(白带)常见疾病信息的检出率,以证明瑞氏染色法替代悬浮法的可行性。方法用悬浮法、瑞氏染色法对396份阴道分泌物标本同时进行镜检,检查清洁度、滴虫、真菌、线索细胞、淋球菌,对比分析两种方法的检测结果。结果悬浮法检出清洁度(Ⅲ～Ⅳ)、滴虫、真菌、线索细胞的阳性率分别为60.10%、5.56%、25.51%、21.97%,瑞氏染色法检出其阳性率分别为70.70%、5.81%、32.32%、29.04%,瑞氏法对清洁度、真菌、线索细胞的检出率明显高于悬浮法(P<0.05)。结论瑞氏法白带常规阳性检出率高且易于进行质量控制,建议采用该法以提高其临床诊治水平。Objective To compare the detection rates of common diseases information of vaginal secretions （Ieucorrhea） by Wright staining and suspension method,and to prove that the feasihility of Wright＇s stain is an alternative of suspension method. Methods The 396 vaginal discharge samples were simultaneously detected by microscopy with suspension and Wright stain. The cleanliness,trichomoniasis,fungi,clue cells and Neisserla gonorrhoeae were detected, and the results were compared. Results The positive rates of cleanliness （Ⅲ～Ⅳ ）, trichomoniasis, fungi and clue ceils by suspension method were 60. 10 %, 5.56 %, 25.51% and 21.97% respectively,and the positive rates of those by Wright staining were 70.70% ,5.81% ,32.32% and 29.04% respec- tively. The positive rates of cleanliness,fungi and clue cell by Wright staining were significantly higher than those by suspension method（P〈0.05）. Conclusion Wright staining which has high positive detection rate and is easy to establish quality control as a routine examination of gynecological vaginal secretions is recommended to use in the clinic to improve the level of diagnosis and treatment.

关 键 词：阴道分泌物 滴虫 真菌 瑞氏染色法 悬浮法 

分 类 号：R446.5[医药卫生—诊断学]