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妇科疾病与细菌性阴道病:对非妊娠患者的影响

Gynecologic conditions and bacterial vaginosis: implications for the non-pregnant patient.

作者信息

Sweet R L

机构信息

Department of OB/GYN/RS, Magee-Womens Hospital, Pittsburgh, PA 15213-3180, USA.

出版信息

Infect Dis Obstet Gynecol. 2000;8(3-4):184-90. doi: 10.1155/S1064744900000260.

DOI:10.1155/S1064744900000260
PMID:10968604
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1784684/
Abstract

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.

摘要

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。

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本文引用的文献

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The role of bacterial vaginosis in infection after major gynecologic surgery.细菌性阴道病在大型妇科手术后感染中的作用。
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Bacterial vaginosis as a risk factor for upper genital tract infection.细菌性阴道病作为上生殖道感染的一个危险因素。
Am J Obstet Gynecol. 1997 Nov;177(5):1184-7. doi: 10.1016/s0002-9378(97)70038-3.
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Correlation between cervical cytologic results and Gram stain as diagnostic tests for bacterial vaginosis.作为细菌性阴道病诊断检测方法的宫颈细胞学检查结果与革兰氏染色之间的相关性
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HIV-1 infection associated with abnormal vaginal flora morphology and bacterial vaginosis.HIV-1感染与阴道菌群形态异常及细菌性阴道病相关。
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