Soper D E, Bump R C, Hurt W G
Department of Obstetrics and Gynecology, Medical College of Virginia, Virginia Commonwealth University, Richmond.
Am J Obstet Gynecol. 1990 Sep;163(3):1016-21; discussion 1021-3. doi: 10.1016/0002-9378(90)91115-s.
To assess the relationship between either bacterial vaginosis or trichomoniasis vaginitis and posthysterectomy infection, preoperative evaluation of the vaginal secretions was performed in 161 women undergoing abdominal hysterectomy. Thirty-two patients (19.9%) and 27 patients (16.8%), respectively, met the diagnostic criteria for bacterial vaginosis and trichomoniasis vaginitis. Patients with either bacterial vaginosis or trichomoniasis vaginitis were more likely than control subjects to have cuff cellulitis, cuff abscess, or both (relative risk 3.2, 95% confidence interval 1.5 to 6.7 for bacterial vaginosis; relative risk 3.4, 95% confidence interval 1.6 to 7.1 for trichomoniasis vaginitis). Preoperative vaginitis had no effect with respect to the incidence of postoperative wound infection, urinary tract infection, or intravenous line phlebitis. Bacteroides sp., Peptostreptococcus sp., and/or Gardnerella vaginalis ("bacterial vaginosis organisms") were isolated from the vaginal cuff in the majority of patients with postoperative cuff cellulitis. Bacterial vaginosis and trichomoniasis vaginitis are risk factors for the development of posthysterectomy cuff cellulitis.
为评估细菌性阴道病或滴虫性阴道炎与子宫切除术后感染之间的关系，对161例行腹部子宫切除术的女性患者进行了术前阴道分泌物评估。分别有32例患者（19.9%）和27例患者（16.8%）符合细菌性阴道病和滴虫性阴道炎的诊断标准。患有细菌性阴道病或滴虫性阴道炎的患者比对照组更易发生袖口蜂窝织炎、袖口脓肿或两者皆有（细菌性阴道病的相对风险为3.2，95%置信区间为1.5至6.7；滴虫性阴道炎的相对风险为3.4，95%置信区间为1.6至7.1）。术前阴道炎对术后伤口感染、尿路感染或静脉炎的发生率没有影响。在大多数术后袖口蜂窝织炎患者的阴道残端中分离出拟杆菌属、消化链球菌属和/或阴道加德纳菌（“细菌性阴道病病原体”）。细菌性阴道病和滴虫性阴道炎是子宫切除术后袖口蜂窝织炎发生的危险因素。
