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阴道分泌物检验的解读

2017-08-01 佚名 迪瑞医疗、检验医学网

女性的下生殖道为开放性腔道,是人体内一个重要的微生态系统,正常育龄女性阴道内有超过200种微生物,其中以乳酸杆菌为优势菌,超过95%的阴道菌都是乳酸杆菌,其余5%是条件致病菌及过路菌。

女性的下生殖道为开放性腔道,是人体内一个重要的微生态系统,正常育龄女性阴道内有超过200种微生物,其中以乳酸杆菌为优势菌,超过95%的阴道菌都是乳酸杆菌,其余5%是条件致病菌及过路菌。

常见的致病菌如引起细菌性阴道病的加德纳菌,引起霉菌性阴道炎的白色念珠菌等就已经存在于女性阴道内,这些微生物在阴道内形成并维持阴道微生态平衡,使女性保持健康状态。

同时,阴道微生态是一个非常灵敏的系统,在受到内源性和外源性因素影响时,很容易发生改变,继而导致疾病的发生。

临床女性阴道分泌物的检测要点
1、阴道分泌物常见病理性颜色、性状变化的临床意义;

2、阴道清洁度判定;

3、常见阴道炎的分泌物改变及病原微生物学检查。

检测方法

大多分为常规检测方法与细菌培养两种。

常规方法即采样后涂片镜检,检测的都是样本的有形成分(形态学),不检测干化学,长期以来对干化学(功能学)的检查是空缺的。

现在可以通过干化学项目的检查,提示患者患病的可能性,对患者样本进行初筛,再结合有形成分检测结果对患者的健康状态进行综合判定,给临床医生提供更加准确的检测结果。

干化学或者称为功能学检测的是有形成分物质在代谢过程中及代谢后产生的酶类及特异性产物等,此类项目在显微镜下检测不到。

常见的有形成分检测项目有

白细胞、红细胞、上皮细胞、线索细胞、杆菌、真菌、滴虫、杂菌。

常见的干化学检测项目有:
白细胞酯酶(LE)、过氧化氢(H2O2)、唾液酸苷酶(SNa)、pH值、氧化酶(OX)、乙酰氨基己糖苷酶(NAG)、乳酸(LA)、β—葡萄糖醛酸酶(GUS)、脯氨酸氨基肽酶(PIP)、凝固酶(GADP)。

有形成分与干化学检测项目的对应关系


干化学检测结果联合判读

干化学类项目检验结果可以联合判读,指示多种阴道炎症,总结如下:

(此表格内容为阴道分泌物检测结果常见的联合判读情况,并不是所有的联合判读结果。)

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    2017-08-25 gwc392
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    2017-08-10 yfjms

    学习了

    0

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    2017-08-06 小康子70

    很好,写的用心,看的舒心

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=2041821, encodeId=afb92041821b9, content=<a href='/topic/show?id=9c7531e85c9' target=_blank style='color:#2F92EE;'>#分泌物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=82, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31785, encryptionId=9c7531e85c9, topicName=分泌物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=21015, createdName=heli0118, createdTime=Thu Jul 12 13:37:00 CST 2018, time=2018-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1682336, encodeId=751c16823367b, content=<a href='/topic/show?id=d4d031e8074' target=_blank style='color:#2F92EE;'>#分泌#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=93, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=31780, encryptionId=d4d031e8074, topicName=分泌)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=0da227938338, createdName=gwc392, createdTime=Fri Aug 25 11:37:00 CST 2017, time=2017-08-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1776934, encodeId=aa831e769341b, content=<a href='/topic/show?id=68109e57480' target=_blank style='color:#2F92EE;'>#阴道分泌物#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=97574, encryptionId=68109e57480, topicName=阴道分泌物)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=40f839060756, createdName=lisa451, createdTime=Sat Apr 21 10:37:00 CST 2018, time=2018-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=232212, encodeId=31a1232212a9, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=83, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Thu Aug 10 17:47:28 CST 2017, time=2017-08-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230890, encodeId=a703230890fe, content=很好,写的用心,看的舒心, beContent=null, objectType=article, channel=null, level=null, likeNumber=89, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83ep3KyYH7kyqVwUwK81ibQRkWMqRMVwerlwD2Ie9byeRp2RL9wKmLgoNwShDTdTNL8RQHfhDsAt0N9A/132, createdBy=99b61684657, createdName=小康子70, createdTime=Sun Aug 06 23:51:52 CST 2017, time=2017-08-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=230229, encodeId=62b423022970, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=c3da1990174, createdName=yfjms, createdTime=Sat Aug 05 07:22:09 CST 2017, time=2017-08-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=229046, encodeId=254a2290469f, content=受益了,谢谢分享……, beContent=null, objectType=article, channel=null, level=null, likeNumber=112, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2017/09/23/8c541a9831aec7026dffdf6bf34ab45d.jpg, createdBy=11371963624, createdName=兰焱雨, createdTime=Wed Aug 02 07:13:22 CST 2017, time=2017-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=228985, encodeId=4392228985d5, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=92, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5KynZWiaZcw1J0lWhzLtT6ukInjVSRV4un6UrPrs68caGt3cNk2qhwctOqMFPWlvwF4wkvtn7bTIOQ/0, createdBy=cca998055, createdName=nannanxyy, createdTime=Wed Aug 02 01:04:57 CST 2017, time=2017-08-02, status=1, ipAttribution=)]
    2017-08-05 yfjms

    学习了

    0

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    2017-08-02 兰焱雨

    受益了,谢谢分享……

    0

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    2017-08-02 nannanxyy

    学习了

    0

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