摘要
目的探讨改良胺试验和计算线索细胞百分率在细菌性阴道病(BV)诊断中的临床应用。方法对本院妇科门诊就诊的生育期妇女672例进行阴道分泌物常规检测,同时进行改良胺试验和计算线索细胞百分率检测,计算其敏感性和特异性,并与Asmel标准法作对比分析。结果在妇科门诊就诊的生育期妇女672例中,检出BV 96例,占14.3%;真菌性阴道炎120例,占17.9%;滴虫性阴道炎24例,占3.6%。改良胺试验诊断BV的敏感性为87.5%,特异性98.6%,与Asmel标准法比较,差异无统计学意义(P>0.05)。线索细胞阳性诊断BV的敏感性为100%,特异性95.0%,与Asmel标准法比较,差异有统计学意义(P<0.05)。改良胺试验联合线索细胞阳性诊断BV的敏感性为87.5%,特异性100%,与Asmel标准法比较,差异有统计学意义(P<0.05)。结论 BV是生育期妇女常见的一种疾病。改良胺试验可显著提高胺试验的灵敏度和特异性,加上线索细胞阳性,特异性更高,其应用于Asmel标准法中使诊断标准更加科学、客观、敏感和特异。
Objective To explore the diagnosis value of improved amine test and calculation on the percentage of clue cells percentage in bacterial bacterial voginosis（BV）.Methods 672 fertile women visited our gynecological clinic underwent the vaginal conventional detection and improved amine test,then we calculated the percentage of clue cells,detection sensitivity and specificity,and compared the result with Asmel standard method.Results 96 cases out of 672 fertile women in gynecology clinic were detected BV positive,accounted for 14.3%;fungal vaginitis were 120,accounted for 17.9%;trichomonal vaginitis were 24,accounted for 3.6%.The sensitivity and specificity of BV tested by improved amine test were 98.6%,87.5%,compared with the Asmel standard method,the result showed no significant difference（P〈0.05）.The sensitivity and specificity of BV tested by clue cells were 100%,95.0%,compared with the Asmel standard method,the result showed a significant difference（P〈0.05）.The sensitivity and specificity of BV tested by improved amine test and clue cells were 87.5% and 100%,compared with the Asmel standard method,the result showed a significant difference（P〈0.05）.Conclusion BV is a common disease in fertile women.The improved amine test can significantly improve the sensitivity and specificity of amino test and the positive rates of clue cells and specificity,its application with the Asmel standard method is more scientific,objective,sensitive and specific.
出处
《检验医学与临床》
CAS
2011年第16期1952-1953,1955,共3页
Laboratory Medicine and Clinic
关键词
改良胺试验
线索细胞
细菌性阴道病
敏感性
特异性
improved amine trial
clue cells
bacterial voginosis
sensitivity
specificity
