Tsvetkova A V, Murtazina Z A, Markusheva T V, Mavzutov A R
Klin Lab Diagn. 2015 May;60(5):41-4.
The bacterial vaginosis is one of the most frequent causes of women visiting gynecologist. The diagnostics of bacterial vaginosis is predominantly based on Amsel criteria (1983). Nowadays, the objectivity of these criteria is disputed more often. The analysis of excretion of mucous membranes of posterolateral fornix of vagina was applied to 640 women with clinical diagnosis bacterial vaginosis. The application of light microscopy to mounts of excretion confirmed in laboratory way the diagnosis of bacterial vaginosis in 100 (15.63%) women. The complaints of burning and unpleasant smell and the Amsel criterion of detection of "key cells" against the background of pH > 4.5 were established as statistically significant for bacterial vaginosis. According study data, the occurrence of excretions has no statistical reliable obligation for differentiation of bacterial vaginosis form other inflammatory pathological conditions of female reproductive sphere. At the same time, detection of "key cells" in mount reliably correlated with bacterial vaginosis.
细菌性阴道病是女性看妇科医生最常见的原因之一。细菌性阴道病的诊断主要基于阿姆塞尔标准（1983年）。如今，这些标准的客观性受到越来越多的质疑。对640例临床诊断为细菌性阴道病的女性进行了阴道后穹窿黏膜分泌物分析。通过光学显微镜对分泌物涂片进行检查，在实验室确诊100例（15.63%）女性患有细菌性阴道病。灼痛和异味主诉以及在pH>4.5背景下检测到“线索细胞”的阿姆塞尔标准，经统计学分析对细菌性阴道病具有显著意义。根据研究数据，分泌物的出现对于区分细菌性阴道病与女性生殖系统其他炎性病理状况并无统计学上的可靠依据。与此同时，涂片检查中检测到“线索细胞”与细菌性阴道病具有可靠的相关性。
