目的 :探讨女性生殖系统炎症及其病原微生物的感染状况及构成变化 ,为防治女性生殖系统炎症提供参考依据。方法 :对妇科门诊初诊为生殖道炎 4 6 92例 ,用病原培养法、抗原或抗体免疫检测法及显微镜进行病原学检测 ,并对其病原微生物构成进行分析。结果 :10岁以下儿童组链球菌的检出率最高(36 0 % ) ;5 0岁以上组念珠菌感染率最高 (2 6 8% ) ,其次是假单胞菌 (10 7% ) ;其他病原微生物以 2 1～ 30岁和 31～ 4 0岁两组检出率最高。病原微生物构成 :性传播疾病 (STD)支原体感染率 6 0 8% ,念珠菌、金黄色葡萄球菌和表皮葡萄球菌分别为 2 0 2 %、17 4 %和 13 5 %。合并 2种病原微生物感染者 136 1例(36 6 % ) ,合并 3种病原微生物感染者 6 2 4例 (16 8% ) ,合并 4种病原微生物感染者 16 2例 (4 4 % )。结论 :育龄妇女为各种病原微生物的主要被感染者 ,应重点检测和防治 ;支原体、念珠菌和葡萄球菌感染已成为女性生殖道炎的主要致病微生物 Objective: To investigate the female reproductive system inflammation and infection of pathogenic microorganisms and changes in composition, provide a reference for the prevention and treatment of female reproductive system inflammation. Methods: A total of 4692 cases of gynecologic outpatients were diagnosed as genital tract inflammation. Pathogen culture, antigen or antibody immunoassay and microscopy were used to detect the pathogen, and pathogenic microorganisms were analyzed. Results: The highest detection rate of Streptococcus (36.0%) was found in children under 10 years of age. The highest infection rate of Candida was 26.8% (50%) in the group over 50 years old, followed by Pseudomonas (107.7%). Other Pathogenic microorganisms to 21 ~ 30 years old and 31 ~ 40 years old the highest detection rate in both groups. Pathogenic microorganisms: Mycoplasma infection rate of sexually transmitted diseases (STD) was 60.8%, Candida, Staphylococcus aureus and Staphylococcus epidermidis were 202%, 174% and 135% respectively. A total of 136 1 (36.6%) patients were infected with two kinds of pathogenic microorganisms, 62.4 (16.8%) were infected with three kinds of pathogenic microorganisms, and 162 (44%) were infected with four kinds of pathogenic microorganisms. Conclusion: Women of childbearing age are the main infected persons of various pathogenic microorganisms, and should be focused on detection and prevention. Mycoplasma, Candida and staphylococcal infections have become the main causative microorganisms of female genital tract inflammation