Mavzutov A R, Tsvetkova A V, Muretdinova L A
Klin Lab Diagn. 2015 Jun;60(6):41-5.
The article presents analysis of laboratory criteria and classifcations used to interpret results of laboratory analysis by technique of microscopy on bacterial vaginosis or dysbacteriosis of vagina. Their advantages and restrictions are demonstrated The unified criteria of evaluation are proposed concerning results of microscopy of mucosal discharge of vagina and corresponding classification. Thereafter, three degrees of bacterial vaginosis (dysbacteriosis of vagina) are differentiated: first degree--compensated dysbacteriosis of vagina, second degree--sub compensated dysbacteriosis of vagina and third degree--decompensated dysbacteriosis of vagina. The corresponding laboratory report of physician is formulated. The proposals are presented concerning development of common unified requirements to stages (pre-analytical, analytical, post-analytical) of laboratory diagnostic of bacterial vaginosis (dysbacteriosis of vagina) with purpose of their unambiguous understanding by clinicians and hence their decision making concerning necessity and tactics of management of patient.
本文介绍了用于通过显微镜技术解释细菌性阴道病或阴道菌群失调实验室分析结果的实验室标准和分类。阐述了它们的优点和局限性。针对阴道黏膜分泌物显微镜检查结果提出了统一的评估标准及相应分类。此后，区分了细菌性阴道病（阴道菌群失调）的三个程度：一度——阴道代偿性菌群失调，二度——阴道亚代偿性菌群失调，三度——阴道失代偿性菌群失调。制定了相应的医生实验室报告。针对细菌性阴道病（阴道菌群失调）实验室诊断的各个阶段（分析前、分析中、分析后）提出了共同统一要求的建议，目的是让临床医生能够明确理解这些要求，从而就患者治疗的必要性和策略做出决策。
