子宫切除术后阴道菌群生态学特征  

The ecological feature of vagina flora in patients with hysterectomy

作　　者：韩献平[1] 曲玉蓉[2] 张秀荣[3] 孙勇[3] 张淑华[1] 潘令嘉[3] 

机构地区：[1]第一军医大学南方医院惠侨科,广州510515 [2]第一军医大学南方医院妇产科,广州510515 [3]第一军医大学南方医院消化科,广州510515

出　　处：《第一军医大学学报》1999年第6期550-552,共3页Journal of First Military Medical University

基　　金：广东省卫生厅科学基金资助! (A1998351)

摘　　要：:目的了解子宫全切术后阴道酸碱度及菌群变化 ,并提出有效的治疗措施 ,以提高病人术后生活质量。方法分别观察子宫全切术后未发生阴道炎、发生念珠菌性阴道炎及正常近龄妇女 3组各 30例 ,测定 pH值并以阴道分泌物快速涂片法进行阴道菌群分析。结果子宫全切除术后阴道 pH值为 3 4～ 5 0 ,念珠菌性阴道炎发生率高于正常人群。 结论子宫全切术后阴道偏酸 ,pH值低于对照组 ,易发生念珠菌阴道炎性菌群失调症 ,但多为I～Ⅱ度可逆性失调。治疗以氟康唑胶囊 35 0mg分 3日口服效佳。Objective To study the alterations of vagina flora and the pH value of vaginal secretion in women after hysterectomy, and to find appropriate treatment for vaginitis in these patients Methods Investigation was carried out in 30 patients with monilial vaginitis after hysterectomy, 30 patients without monilial vaginitis after hysterectomy, and 30 healthy age-matched women respectively pH value of the vagina secretion was assayed, and the flora was analyzed by quick smear examination Results The data showed that vagina pH was 3 4～5 0 in patients with hysterectomy, and the incidence of monilial vaginitis in women following uterectomy was higher than that in healthy women Conclusions In patients with hysterectomy, the vagina secretion is acidic and the pH value is lower The incidence of monilial vaginitis and flora imbalanceis higher than those in healthy women The flora imbalance was I～II degree reversible in most patients Treatment with diflucan (350 mg/3 d) has very good curative effect

关 键 词：子宫全切术 阴道菌群 氟康唑 生态学特征 酸碱度 

分 类 号：R713.42[医药卫生—妇产科学]