Majeroni B A, Schank J N, Horwitz M, Valenti J
Department of Family Medicine, State University of New York at Buffalo, NY, USA.
Fam Med. 1996 Sep;28(8):580-3.
Cervicitis is associated with salpingitis, infertility, and complications of pregnancy. Universal screening has been recommended for high-prevalence populations but may not be appropriate in the family practice setting. Leukocytes on an endocervical gram stain have been associated with infectious cervicitis due to Chlamydia trachomatis and Neisseria gonorrhea. This study sought to determine whether the finding of leukocytes in a vaginal wet mount could be used to screen for infectious cervicitis in an urban family practice.
A consecutive sample of 357 women had cultures for C trachomatis and N gonorrhea and a standardized wet mount.
All women with infectious cervicitis were under age 35. Thirty-six percent of infected women had more leukocytes than epithelial cells in the wet mount, compared with 23% of women without these organisms.
Wet mount findings did not reliably predict infectious cervicitis. Study of a larger population is needed to confirm these findings.
宫颈炎与输卵管炎、不孕症及妊娠并发症有关。已建议对高流行人群进行普遍筛查，但在家庭医疗环境中可能并不适用。宫颈革兰氏染色涂片上的白细胞与沙眼衣原体和淋病奈瑟菌引起的感染性宫颈炎有关。本研究旨在确定阴道湿片检查中白细胞的发现是否可用于城市家庭医疗中感染性宫颈炎的筛查。
对357名女性进行连续抽样，检测沙眼衣原体和淋病奈瑟菌培养物，并进行标准化湿片检查。
所有感染性宫颈炎患者年龄均在35岁以下。在湿片中，36%的感染女性白细胞多于上皮细胞，而无这些病原体的女性这一比例为23%。
湿片检查结果不能可靠地预测感染性宫颈炎。需要对更大规模人群进行研究以证实这些发现。
