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目的探讨脱屑性炎性阴道炎患者的临床特征和阴道微生物状况。方法对脱屑性炎性阴道炎患者的临床特征进行分析,并取阴道分泌物进行需氧菌培养及鉴定。结果 22例患者全部存在脓性白带,其他特征包括:外阴瘙痒11例(50.0%)、外阴灼痛2例(9.1%)、性交痛7例(31.8%)、白带异味1例(4.5%)、阴道壁充血、水肿12例(54.5%)。阴道pH值平均为4.6。阴道分泌物需氧菌培养阳性者中,凝固酶阴性葡萄球菌19例(86.4%)、B组链球菌7例(31.8%)、肠球菌6例(27.3%)、大肠艾希菌3例(13.7%)、棒状杆菌3例(13.7%)、非淋病奈瑟菌2例(9.1%)和克雷伯杆菌1例(4.5%)。结论脱屑性炎性阴道炎主要表现为白带异常,半数患者存在瘙痒症状,常见致病细菌包括凝固酶阴性葡萄球、B族链球菌和肠球菌。
Objective To investigate the clinical features and vaginal microbiological status of patients with desquamation inflammatory vaginitis. Methods The clinical features of patients with desquamation inflammatory vaginitis were analyzed, vaginal secretions were taken for aerobic culture and identification. Results All the 22 patients had purulent leucorrhea. Other features included genital itching in 11 cases (50.0%), vulvar burning in 2 cases (9.1%), sexual intercourse pain in 7 cases (31.8%), leucorrhea odor in 1 case (4.5%), , Vaginal wall congestion, edema in 12 cases (54.5%). The average vaginal pH was 4.6. Vaginal secretion of aerobic culture positive persons, coagulase-negative staphylococci in 19 cases (86.4%), B streptococci in 7 cases (31.8%), enterococci in 6 cases (27.3%), Escherichia coli in 3 cases 13.7%), 3 cases of corynebacteria (13.7%), 2 cases of non-gonorrhea (9.1%) and 1 case of Klebsiella pneumoniae (4.5%). Conclusions The desquamative inflammatory vaginitis is mainly characterized by leucorrhea. Half of the patients have pruritus symptoms. Common pathogenic bacteria include coagulase-negative staphylococci, streptococcus group B and enterococci.