摘要
目的探讨与分析宫颈炎患者微生物学检验联合阴道分泌物标本五联检验的价值,以促进宫颈炎的早期检出。方法选择2020年1月—2022年7月在北京中医医院顺义医院诊治的78例宫颈炎患者作为研究对象,所有患者均给予微生物学检验联合阴道分泌物标本五联检验并进行评分分析,同时给予组织病理学检查并判断诊断价值。结果在78例患者中,微生物学检验联合阴道分泌物标本五联检验判断为CINⅠ级者32例,CINⅡ级28例者,CINⅢ级者10例,宫颈癌者8例。病理诊断为CINⅠ级者33例,CINⅡ级者24例,CINⅢ级者11例,宫颈癌者10例。微生物学检验联合阴道分泌物标本五联检验诊断CINⅠ、CINⅡ、CINⅢ、宫颈癌的准确率分别为96.97%(32/33)、82.14%(23/28)、70.00%(7/10)、100.00%(8/8),总诊断准确率为89.74%(70/78),出现错误诊断8例。Spearsman分析显示初潮年龄、吸烟、血糖、孕次、产次与微生物学检验联合阴道分泌物标本五联检验错误诊断率存在相关性(P<0.05)。多因素回归logistic分析显示初潮年龄、吸烟、血糖、孕次、产次均为导致微生物学检验联合阴道分泌物标本五联检验错误诊断率发生的主要独立危险因素(P<0.05)。结论微生物学检验联合阴道分泌物标本五联检验有助于临床医师早期判断宫颈炎患者的病情状况,但是也存在一定的错误诊断情况,初潮年龄、吸烟、血糖、孕次、产次为导致错误诊断发生的重要原因。
Objective To explore and analysis the values of microbiological examination combined with penta test of vaginal secretion specimens in patients with cervicitis,so as to promote the early detection of cervicitis.Methods From January 2020 to July 2022,78 cases of patients with cervicitis who were diagnosed and treated in our hospital were selected as the research subjects.All patients were given microbiological examination combined with vaginal secretion specimen quintuple examination.At the same time,histopathological examination was given and the diagnostic value was judged.Results In the 78 patients,there were 32 cases were classifi ed as CIN gradeⅠ,28 cases of CIN gradeⅡ,10 cases of CIN gradeⅢ,and 8 cases of cervical cancer by microbiological examination combined with vaginal secretion specimen quintuple examination.The pathological diagnosis was CIN gradeⅠin 33 cases,CIN gradeⅡin 24 cases,CIN gradeⅢin 11 cases,and cervical cancer in 10 cases.The accuracy rates of microbiological examination combined with vaginal secretion specimen quintuple examination in diagnosing CIN gradeⅠ,CIN gradeⅡ,CIN gradeⅢand cervical cancer were 96.97%(32/33),82.14%(23/28),70.00%(7/10),100.00%(8/8).The total diagnostic accuracy rate was 89.74%(70/78),and there were 8 cases were error diagnosis.Spearsman analysis showed that age at menarche,smoking,blood sugar,pregnancy,parity were correlated to the error diagnosis(P<0.05).Multivariate logistic regression analysis showed that age at menarche,smoking,blood sugar,pregnancy and parity were the main independent risk factors for the error diagnosis of microbiological examination combined with vaginal secretion specimen quintuple examination(P<0.05).Conclusion Microbiological examination combined with vaginal secretion specimen quintuple examination can help clinicians to judge the condition of patients with cervicitis early,but there are also some error diagnosis.Menarche,smoking,blood sugar,pregnancy and parity were the important reasons for error diagnosis.
作者
孟思彤
MENG Si-tong(Department of Laboratory Medicine,Shunyi Hospital,Beijing Hospital of Traditional Chinese Medicine,Beijing,101300,China)
出处
《中华养生保健》
2023年第4期18-22,共5页
CHINESE HEALTH CARE
关键词
微生物学检验
阴道分泌物
五联检验
宫颈炎
初潮年龄
多因素分析
microbiological test
vaginal secretions
quintuplex test
cervicitis
age at menarche
multivariate analysis
