细菌培养法在细菌性阴道炎检测中的应用价值分析  

Analysis of the application value of bacterial culture method in the detection of female bacterial vaginitis

作　　者：谢银 Xie Yin(Department of Clinical Laboratory,Rugao Branch of the Affiliated Hospital of Nantong University(Rugao Boai Hospital),Rugao 226500,China)

机构地区：[1]南通大学附属医院如皋分院(如皋博爱医院)检验科,江苏如皋226500

出　　处：《实用妇科内分泌电子杂志》2023年第13期88-90,共3页Electronic Journal of Practical Gynecological Endocrinology

摘　　要：目的探讨在细菌性阴道炎检测中采用细菌培养法的价值。方法选取525例疑似细菌性阴道炎患者,均予以细菌培养法与革兰染色法检测,以临床综合诊断为金标准。比较两种方法的诊断效能,并评估细菌培养法对各类病菌分型诊断的价值。结果细菌培养法对细菌性阴道炎诊断准确率98.67%、敏感度98.80%、特异度98.15%均高于革兰染色法的90.10%、91.13%、86.11%,差异有统计学意义(P<0.05)。细菌培养法对肠杆菌、肠球菌、加特纳菌鉴别分型准确率分别为98.78%、98.48%、98.28%,整体鉴别诊断准确率为98.54%,与临床综合诊断一致性较好(Kappa=0.978)。结论细菌性阴道炎患者采用细菌培养法检测诊断效能高于革兰染色法,可实现各类病菌的有效分型诊断,为后续工作提供准确依据。Objective To explore the value of bacterial culture method in the detection of female bacterial vaginitis.Methods 525 patients with suspected bacterial vaginitis were examined by Gram staining and bacterial culture,and the diagnostic efficacy of the two methods was compared,and the value of bacterial culture in the classification and diagnosis of various bacteria was evaluated.Results The accuracy,sensitivity and specificity of bacterial culture method were 98.67%,98.80%and 98.15%higher than those of gram staining method(90.10%,91.13%and 86.11%).The difference was statistically significant(P<0.05).The classification accuracy of enterobacterium,enterococcus and Gardneria by bacterial culture method was 98.78%,98.48%and 98.28%,respectively,and the overall differential diagnosis accuracy was 98.54%,which was in good agreement with clinical comprehensive diagnosis(Kappa=0.978).Conclusion The bacterial culture method is effective in detecting and diagnosing patients with bacterial vaginitis,and can realize the effective classification and diagnosis of various bacteria,and provide accurate basis for the follow-up work.

关 键 词：细菌培养法 革兰染色法 细菌性阴道炎 鉴别诊断 

分 类 号：R711.31[医药卫生—妇产科学]