中国实用妇科与产科杂志

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阴道微生态诊断评价的关键问题

  

  1. 北京大学第一医院妇产科,北京 100034
  • 出版日期:2017-08-02 发布日期:2017-08-10
  • 通讯作者: 张岱

Key to diagnosis evaluation system of vaginal microecology.

  1. Department of Obstetrics and Gynecology,Peking University First Hospital,Beijing 100034,China
  • Online:2017-08-02 Published:2017-08-10

摘要:

女性阴道微生态是人体微生态系统的一部分,与阴道感染的发病息息相关。阴道微生态诊断评价提供了分析了解阴道微生态变化的手段。阴道微生态评价有4个关键之处。首先,阴道微生态诊断评价系统应该包括形态学诊断平台和功能学诊断平台两大部分,并以形态学为主;其次,阴道微生态诊断评价的形态学诊断平台应包含对菌群的评价、致病微生物的检测以及疾病状态评估3个部分;再次,功能学诊断平台包括阴道pH值的检测、乳杆菌功能的评估、微生物代谢产物及机体炎性反应的检测;最后,阴道微生态诊断评价需要做好质量控制。

关键词: 阴道炎, 阴道微生态, 评价, 形态学平台, 功能学平台

Abstract:

Female vaginal microecology is a part of the body's microecosystem,which is closely related to the incidence of vaginal infection.The evaluation system of vaginal microecology provides us with a means to analyze and understand the changes of vaginal microecology.There are four key points in vaginal microecology evaluation system.First of all,the vaginal microecological diagnosis evaluation system should include two parts,the morphological diagnosis platform and function diagnosis platform,and the morphological diagnosis platform is more important;secondly,the morphological diagnosis platform should include three parts:the evaluation of the flora,the detection of pathogenic microorganisms and the evaluation of the disease state;thirdly,the functional diagnostic platform includes the detection of pH value,the evaluation of Lactobacillus function,the detection of microbial metabolites and the inflammatory reaction;finally,the evaluation system of vaginal microecological diagnosis requires good control of quality.

Key words: vaginitis, vaginal microecology, evaluation, morphology platform, functional platform

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