宫颈糜烂患者细菌性阴道病病原的检测  

Detection on pathogens of bacterial vaginosis(BV) of patients with cervical erosion.

作　　者：李兆艾[1] 朱庆义[1] 李莲青[1] 张林爱[1] 周丽萍[1] 

机构地区：[1]山西省妇幼保健院妇产科,太原030013

出　　处：《现代妇产科进展》2001年第3期190-192,共3页Progress in Obstetrics and Gynecology

摘　　要：目的 :了解细菌性阴道病 (BV)与宫颈糜烂的关系。方法 :采用Amsel常用的诊断标准检测BV病原 ,对宫颈糜烂 112 1例和健康对照者 30 0名的BV患病状态进行对照研究 ,并根据宫颈糜烂患者发病年龄及病程进行分组研究。结果 :宫颈糜烂患者BV患病率明显高于对照组。患者年龄超过 4 0岁 ,病程超过 12个月及宫颈糜烂程度重者BV患病率明显升高 (P <0 .0 1)。宫颈糜烂合并BV患者加德菌 (GV)检出率达 10 0 % ,患者胚胎停止发育、人流后腹痛出血等发生率也高。结论 :BV特别是合并加德菌感染在宫颈糜烂发病中起一定作用 ;年龄越大、宫颈糜烂病程越长、糜烂程度越重 ,BV患病率越高 ;Objective:To investigate the relationship between bacterial vaginosis(BV) and cervical erosion. Methods:The detection of pathogens of BV was applied by the Amsel Diagnostic Criteria. 1121 cases of cervical erosion were studied and 300 healthy women were selected as the control group. The comparison of different occurrence age, disease courses and degree of cervical erosion was carried out. Results: The positive rate of BV of patients with cervical erosion was significantly higher than that of the control group. The patients who were over 40, had more than 12 months of disease course and severe cervical erosion had much higher positive rate of BV(P<0.01). The positive rate of Gardnerlla vaginatis (GV) for patients with cervical erosion accompanied by BV reached to 100%, and also with the higher rate of missed abortion, bellyache and bleeding after induced abortion. Conclusions: Bacterial vaginosis, especially GV, plays a very important role in patients with cervical erosion. The elder the women, the longer the disease course and the more severe the cervical erosion is, the higher the positive rate of BV is. Cervical erosion with BV may induce missed abortion, bellyache and bleeding after induced abortion.

关 键 词：细菌性阴道病 宫颈糜烂 细菌感染 

分 类 号：R711.32[医药卫生—妇产科学]