阴道分泌物五联检用于阴道炎诊断中的临床价值分析
Analysis on Clinical Value of Vaginal Secretion Five Joint Test in the Diagnosis of Vaginitis
唐杰一 1刘豫丹1
作者信息
- 1. 洛阳新里程医院检验科,河南洛阳 471000
- 折叠
摘要
目的 探讨阴道分泌物五联检用于阴道炎诊断中的临床价值.方法 选择 2019 年 8 月至 2022 年 9 月我院收治的疑似阴道炎患者 116 例,均行显微镜干、湿片镜检及五联检检查.将革兰染色(干片镜检)结果作为"金标准",分析革兰染色检查结果;分析常规湿片镜检及五联检在阴道炎中的诊断价值,并计算一致性.结果 116 例疑似阴道炎患者,经革兰染色检查明确阴道炎阳性 38 例,阳性检出率为 32.76%.五联检在阴道炎中的诊断价值高于湿片镜检法(P＜0.05).κ检验显示,常规湿片镜检法与"金标准"一致性尚可(κ=0.598,P=0.000);五联检与"金标准"一致性良好(κ=0.941,P=0.000).结论 阴道分泌物五联检在阴道炎诊断中的应用价值较高,并与"金标准"具有较强的一致性,可为临床诊疗提供有效依据.
Abstract
Objective To explore the clinical value of vaginal secretion five joint test in the diagnosis of vaginitis.Methods 116 patients with suspected vaginitis admitted to our hospital from August 2019 to September 2022 were selected,and given dry and wet microscopic tests and five joint tests.The results of Gram staining(dry film microscopy)taken as the gold standard,the results of Gram staining detection was analyzed.The diagnostic value of routine wet film microscopy and five joint test in vaginitis was analyzed,and the consistency was calculated.Results Among 116 patients with suspected vaginitis,38 cases were diagnosed positive,with the positive detection rate of 32.76%.The diagnostic value of five joint test in vaginitis was higher than that of wet film microscopy(P<0.05).κ test showed that the consistency between routine wet film microscopy and the gold standard was acceptable(κ=0.598,P=0.000);the consistency between the five joint test and the gold standard was good(κ=0.941,P=0.000).Conclusions Vaginal secretion five joint test has higher value in the differential diagnosis of vaginitis,and has stronger consistency with the gold standard,which can provide effective basis for clinical diagnosis and treatment.
关键词
阴道炎/阴道分泌物/五联检/诊断阳性率Key words
Vaginitis/Vaginal secretion/Five joint test/Positive diagnostic rate引用本文复制引用
出版年
2024
国家科技期刊平台
NSTL
万方数据