论文部分内容阅读
目的探讨线索细胞法检查对细菌性阴道病(BV)的诊断价值。方法对350例疑似BV患者的阴道分泌物分别用Amsel法、线索细胞法、Nugent评分法进行检测,以Amsel法的检测结果为标准,其他二种方法与之进行比较。结果 Amsel法检出BV阳性217例,线索细胞法阳性225例,其中真阳性203例,Nugent评分阳性227例,其中真阳性207例。线索细胞法诊断BV的敏感度94.4%,特异度83.7%,诊断效率90.3%;Nugent评分敏感度95.8%,特异度85.1%,诊断效率91.7%。二种方法与Amsel法比较,以上指标差异均无统计学意义(均P>0.05)。结论以线索细胞法作为诊断BV的标准,具有操作简便快速、结果准确、易于规范的特点,可作为阴道分泌物常规检查项目在临床开展应用。
Objective To investigate the diagnostic value of clues cell method for bacterial vaginosis (BV). Methods The vaginal secretions of 350 patients with suspected BV were detected by Amsel method, clue cell method and Nugent scoring method respectively. The results of Amsel method were compared with those of the other two methods. Results 217 cases of BV were detected by Amsel method, 225 cases were positive by clue cell method, of which 203 cases were true positive and 227 cases were positive Nugent. The sensitivity, specificity and diagnostic efficiency of BV were 94.4%, 83.7% and 90.3%, respectively. Nugent score was 95.8%, specificity was 85.1%, and diagnostic efficiency was 91.7%. The two methods compared with the Amsel method, the above indicators were no significant difference (all P> 0.05). Conclusion The clue cell method is the standard for the diagnosis of BV. It has the characteristics of simple and quick operation, accurate results and easy to regulate. It can be used clinically as a routine examination of vaginal secretions.