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复发性阴道炎极难诊治。阴道分泌物培养常阴性,抗生素治疗通常亦不能预防症状复发。有些阴道炎似与性交有关。对引起复发性阴道炎的微生物鉴定困难和抗生素治疗的无效性,促使人们考虑宿主方面的因素。本文将说明复发性阴道炎与细胞免疫的一过性和局部性的抑制有关。对白色念珠首的免疫应答白色念珠菌是复发性阴道炎患者阴道涂片中最常见的微生物。但用药物消除此菌后,并不能防止其复发,可见此菌的集聚是本病继发的结果而不是原发原因。女性在妊娠期、患糖尿病时、使用类固醇或广谱抗生素治疗、伴有淋巴细胞或吞噬细胞功能缺陷时,白色念珠菌性阴道炎的发病率常见升高,均系在这些情况下患者细胞免疫受抑制所致。Ⅰ型糖尿病患者白细胞介素-2(IL-2)产生有缺
Recurrent vaginitis is extremely difficult to diagnose and treat. Vaginal secretions culture often negative, antibiotic treatment usually can not prevent the recurrence of symptoms. Some vaginitis may be related to sexual intercourse. The identification of microorganisms causing recurrent vaginitis and the ineffectiveness of antibiotic therapy have prompted one to consider host-related factors. This article will explain recurrent vaginitis and cellular immunity transient and local inhibition. Immune Response to White Rosary Head Candida albicans is the most common microbe in vaginal smears of recurrent vaginitis. However, the elimination of this drug with the drug, and can not prevent the recurrence of the bacteria can be seen gathering is the result of this disease rather than the primary cause. In women with gestational diabetes mellitus, the use of steroids or broad-spectrum antibiotics, accompanied by dysfunction of lymphocytes or phagocytes, is associated with a common increase in the incidence of C. albicans vaginitis, both in patients with cellular immunity in these conditions By suppression. Patients with type 1 diabetes have interleukin-2 (IL-2) deficiency