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目的:探讨宫腔粘连患者中需氧菌阴道炎(AV)感染的发病情况。方法;留取122例宫腔粘连患者阴道分泌物作为实验组,并随机选取同期妇科门诊150例患者阴道分泌物作为对照组,比较AV的发病率及合并混合感染的比率。结果:272例研究对象中,AV 50例占18.4%,其中单纯性AV感染21例,混合感染29例。宫腔粘连组122例中AV 29例占23.8%,其中单纯AV感染12例,混合感染17例,合并细菌性阴道炎(BV)8例、外阴阴道假丝酵母菌(VVC)6例、滴虫性阴道炎(TV)3例。对照组150例研究对象中AV 21例占14.0%,其中单纯性AV感染9例,混合感染12例,合并BV 6例、VVC 4例、TV 2例。两组中AV的检出率差异有统计学意义(P<0.05),但两组AV患者中混合感染的比例和构成比差异无统计学意义(P>0.05)。结论:宫腔粘连患者中AV的发病率高于对照组,且部分AV患者存在混合感染。宫腔镜检查之前应注意AV的检测,并提倡新的治疗和检测方法。
Objective: To investigate the incidence of aerobic bacterial vaginitis (AV) infection in patients with intrauterine adhesions. Methods: 122 cases of intrauterine adhesions in patients with vaginal secretions were taken as the experimental group, and randomly selected gynecological clinic in the same period of 150 patients with vaginal secretions as a control group, the incidence of AV and mixed infection rates. Results: Of the 272 subjects, AV 50 accounted for 18.4%, of which 21 were simple AV infection and 29 were mixed infection. The intrauterine adhesion group of 122 cases of AV 29 cases accounted for 23.8%, of which 12 cases of AV infection alone, 17 cases of mixed infections, bacterial vaginosis (BV) in 8 cases, 6 cases of vulvovaginal Candida albicans (VVC) 3 cases of worm sex vaginitis (TV). The control group of 150 cases of AV 21 cases accounted for 14.0%, including simple AV infection in 9 cases, mixed infection in 12 cases, BV 6 cases, 4 cases of VVC, TV 2 cases. There was significant difference in the detection rate of AV among the two groups (P <0.05). However, there was no significant difference in the proportion and composition ratio of the mixed infection among the two groups of AV patients (P> 0.05). Conclusion: The incidence of AV in patients with intrauterine adhesions is higher than that in control group, and some AV patients have mixed infection. Hysteroscopy should pay attention to the detection of AV, and to promote new treatment and detection methods.