白带涂片多功能染色技术(BTR法)在妇科疾病患者中的应用与评价  

Analysis and application of leucorrhea smear multi-function BTR staining techniques( method) in gynecological disease

作　　者：夏秀文 施国凤 罗红 马泽荣 

机构地区：[1]广州市萝岗区九龙镇中心卫生院,广州510555

出　　处：《广州医药》2015年第6期49-51,共3页Guangzhou Medical Journal

基　　金：广州市医药卫生科技项目(20141A041004)

摘　　要：目的探讨分析白带涂片多功能染色技术(BTR法)在妇科疾病患者中的临床应用价值。方法选取300例有明显感染症状的妇科疾病患者取白带,采用BTR法、盐水法和巴氏染色法进行检测。结果 BTR法病原体阳性率:滴虫42%、霉菌36.7%、线索细胞17.3%、纤毛菌12%、淋球菌6.7%、球杆菌86%、核异质细胞6.3%和癌细胞2.7%,阴道清洁度95%;阳性率高于盐水法和巴氏染色法,差异有统计学意义(P<0.01);而且BTR法操作简单,耗时少,检出率高,成本低,优于盐水法和巴氏染色法,差异有统计学意义(P<0.01)。结论BTR法可在几分钟内检出滴虫性或霉菌性或细菌性阴道炎、宫颈炎、宫颈癌、卵巢癌等异常情况,可提高妇科疾病病原体的检出率,为诊断和治疗提供可靠依据,适用于大型妇科普查和癌症筛查,值得在基层医院推广应用。Objective To explore and analysis the application of leucorrhea smear multi-function BTR staining techniques（ method） in gynecological disease. Methods Leucorrhea were taken in 300 gynecological disease patients with obvious infection symptoms,BTR,saline smear,pap staining were performed at the same sample. Results Pathogene positive rate of BTR method of trichomonad,mould,clue cell,leptotrichia,gonococci,coccobacillus,dyskaryotic cell,cancer cell and vaginal cleanliness detection rate is 42%,36. 7%,17. 3%,12%,6. 7%,86%,6. 3%,2. 7% and 95% respectively.The pathogens detection rate of BTR was higher than saline smear,pap staining. It showed statistical difference（ P〈0. 01）.BTR method operated simply,timely,low cost,positively than saline smear,pap staining,it showed statistical difference（ P〈0. 01）. Conclusion BTR method can detect bacterial vaginitis,colpitis mycotica,cervicitis,cervical carcinoma and ovarian cancer. It can provide reliable evidence for gynecological disease diagnosis and treatment. It can be applied in big gynecological and cancer screening. BTR method is deserved to popularize and apply in primary hospital.

关 键 词：白带涂片多功能染色技术(BTR法) 应用 评价 

分 类 号：R711[医药卫生—妇产科学]