Sweet R L
Department of OB/GYN/RS, Magee-Womens Hospital, Pittsburgh, PA 15213-3180, USA.
Infect Dis Obstet Gynecol. 2000;8(3-4):184-90. doi: 10.1155/S1064744900000260.
Bacterial vaginosis is characterized by a shift from the predominant lactobacillus vaginal flora to an overgrowth of anaerobic bacteria. Bacterial vaginosis is associated with an increased risk of gynecologic complications, including pelvic inflammatory disease, postoperative infection, cervicitis, human immunodeficiency virus (HIV), and possibly cervical intraepithelial neoplasia (CIN). The obstetrical risks associated with bacterial vaginosis include premature rupture of membranes, preterm labor and delivery, chorioamnionitis and postpartum endometritis. Despite the health risks associated with bacterial vaginosis and its high prevalence in women of childbearing age, bacterial vaginosis continues to be largely ignored by clinicians, particularly in asymptomatic women.
细菌性阴道病的特征是阴道内主要的乳酸杆菌菌群转变为厌氧菌过度生长。细菌性阴道病与妇科并发症风险增加相关,包括盆腔炎、术后感染、宫颈炎、人类免疫缺陷病毒(HIV)感染,还可能与宫颈上皮内瘤变(CIN)有关。与细菌性阴道病相关的产科风险包括胎膜早破、早产和分娩、绒毛膜羊膜炎和产后子宫内膜炎。尽管细菌性阴道病存在健康风险且在育龄女性中患病率很高,但临床医生大多仍对其忽视,尤其是在无症状女性中。