论文部分内容阅读
目的了解宫腔粘连(intrauterine adhesion,IUA)患者阴道微生态状况,探究阴道微生态改变在IUA发生中的临床意义。方法选取2014年8月~2015年1月在该院宫腔镜诊疗中心诊断为IUA的患者156例为实验组,同期门诊160例健康体检者为对照组。对其阴道分泌物进行湿片镜检及微生态学检测,比较阴道微生态情况。结果实验组阴道微生态失调检出率(77.6%)高于对照组(67.5%),差异有统计学意义(P=0.045);不同程度粘连患者阴道微生态失调检出率分别为:轻度88.2%、中度75.6%、重71.9%,差异无统计学意义(P=0.219)。结论实验组中阴道微生态失调检出率高于对照组,提示阴道微生态失调可能与IUA的发生有关,进行宫腔操作前后均应注意对阴道微生态水平进行评价。
Objective To understand the status of vaginal microecology in patients with intrauterine adhesion (IUA) and to explore the clinical significance of vaginal microecology changes in the occurrence of IUA. Methods From August 2014 to January 2015, 156 patients diagnosed as IUA in the hysteroscopic clinic of the hospital were selected as the experimental group, and 160 healthy subjects were selected as the control group during the same period. Vaginal secretion of its wet microscopic examination and micro-ecological testing, vaginal microbiological conditions. Results The prevalence of vaginal dysbiosis in experimental group (77.6%) was higher than that in control group (67.5%), the difference was statistically significant (P = 0.045). The prevalence of vaginal dysbiosis in patients with different degrees of adhesions were mild 88.2%, moderate 75.6% and weight 71.9% respectively, with no significant difference (P = 0.219). Conclusions The detection rate of vaginal microecosystem disorders in the experimental group is higher than that in the control group, suggesting that vaginal microecological disorders may be related to the occurrence of IUA. Before and after uterine cavity operation, attention should be paid to evaluate the vaginal microecological level.