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目的探讨需氧菌性阴道炎(AV)生化检测法的临床应用价值。方法使用镜检和生化检测对500例疑似AV患者阴道分泌物进行检查,对检测结果进行对比分析。结果在500例疑似AV患者中,镜检法检出阳性患者409例,生化检测法共检出阳性患者414例。两种方法的诊断符合率为96.60%,二者呈中度一致性(Kappa=0.783,P<0.05)。以镜检法为标准,生化检测法的敏感度为98.53%、特异性为87.91%。结论生化检测法对AV诊断具有很高的敏感度和特异度,且与镜检法符合率高,值得临床推广使用。
Objective To investigate the clinical value of biochemical detection of aerobic bacterial vaginitis (AV). Methods The vaginal secretions of 500 suspected AV patients were examined by microscopic examination and biochemical tests, and the results were compared. Results Among the 500 cases of suspected AV patients, 409 cases were found positive by microscopy and 414 cases were positive by biochemical test. The diagnostic coincidence rate of the two methods was 96.60%, the two were moderately consistent (Kappa = 0.783, P <0.05). According to the microscopic examination method, the biochemical detection method has a sensitivity of 98.53% and a specificity of 87.91%. Conclusion The biochemical detection method has a high sensitivity and specificity for the diagnosis of AV, and with the high coincidence rate with the microscopic examination, worthy of clinical promotion and use.