Sweet R L
Am J Obstet Gynecol. 1985 Aug 1;152(7 Pt 2):921-3. doi: 10.1016/s0002-9378(85)80002-8.
Acute vaginitis is one of the most common diseases seen in the practice of office gynecology. Large survey studies of women with lower genital tract symptoms suggestive of vaginitis have demonstrated the presence of three major etiologic categories in acute vaginitis: (1) nonspecific vaginosis (Gardnerella vaginalis), (2) vulvovaginal candidiasis (Candida albicans), and (3) trichomoniasis (Trichomonas vaginalis). Effective treatment of acute vaginitis requires that an accurate diagnosis be established and etiologic microorganism(s) be identified. In general, the differential diagnosis of acute vaginitis does not rely on elaborate technology but, rather, requires inexpensive and readily available office equipment and supplies, a detailed history, and an adequate examination of the external genitalia, vagina, and cervix. Only after the etiology of vaginitis has been identified can appropriate therapeutic intervention(s) be utilized.
急性阴道炎是门诊妇科最常见的疾病之一。对有提示阴道炎的下生殖道症状的女性进行的大型调查研究表明，急性阴道炎存在三大病因类别：（1）非特异性阴道病（阴道加德纳菌），（2）外阴阴道念珠菌病（白假丝酵母菌），以及（3）滴虫病（阴道毛滴虫）。急性阴道炎的有效治疗需要准确诊断并识别致病微生物。一般来说，急性阴道炎的鉴别诊断并不依赖复杂技术，而是需要价格低廉且易于获取的门诊设备和用品、详细的病史以及对外生殖器、阴道和宫颈进行充分检查。只有在确定阴道炎的病因后，才能采用适当的治疗干预措施。
