脱屑性炎性阴道炎的临床特征和需氧菌培养结果  

Clinical characteristics and aerobic bacteria of desquamative inflammatory vaginitis

作　　者：樊尚荣[1] 刘小平[2] 李健玲[1] 胡玉新[1] 

机构地区：[1]北京大学深圳医院妇产科 [2]北京大学深圳医院检验科

出　　处：《中国妇产科临床杂志》2014年第3期230-232,共3页Chinese Journal of Clinical Obstetrics and Gynecology

基　　金：深圳市科技创新项目(201102020)

摘　　要：目的探讨脱屑性炎性阴道炎患者的临床特征和阴道微生物状况。方法对脱屑性炎性阴道炎患者的临床特征进行分析,并取阴道分泌物进行需氧菌培养及鉴定。结果 22例患者全部存在脓性白带,其他特征包括:外阴瘙痒11例(50.0%)、外阴灼痛2例(9.1%)、性交痛7例(31.8%)、白带异味1例(4.5%)、阴道壁充血、水肿12例(54.5%)。阴道pH值平均为4.6。阴道分泌物需氧菌培养阳性者中,凝固酶阴性葡萄球菌19例(86.4%)、B组链球菌7例(31.8%)、肠球菌6例(27.3%)、大肠艾希菌3例(13.7%)、棒状杆菌3例(13.7%)、非淋病奈瑟菌2例(9.1%)和克雷伯杆菌1例(4.5%)。结论脱屑性炎性阴道炎主要表现为白带异常,半数患者存在瘙痒症状,常见致病细菌包括凝固酶阴性葡萄球、B族链球菌和肠球菌。Objective To describe the clinical characteristics and aerobic bacteria of patients with desquamative inflammatory vaginitis. Methods A questionnaire about clinical characteristics was filled out and vaginal aerobic bacteria culture was performed in patients with desquamative inflammatory vaginitis. Results All 22 patients presented with purulent vaginal discharge and other clinical characteristics included pruritus （50. 0%, 11 cases）, soreness （9. 1%, 2 cases） and painful intercourse. Positive vaginal aerobic bacteria were coagulasenegative staphylococci （86.4%, 19 strains）, Group B streptococci （31.8%, 7 strains）, enterococc （27.3%, 6 strains） Escherichia coli （13. 7%, 3 strains）, microbacterium （13.7%, 3 strains）, Neisseria spp （9. 1%, 2 strains） and Klebsiella （4. 1%, 1 strains）. Conclusions The clinical characteristics of desquamative inflammatory vaginitis were purulent vaginal discharge, pruritus and soreness. Aerobic bacteria include coagulase- negative staphylococci, Group B streptococci, Escherichia coli and enterococc.

关 键 词：脱屑性炎性阴道炎 临床特征 微生物 

分 类 号：R711.31[医药卫生—妇产科学]