Priestley C J, Kinghorn G R
Department of GU Medicine, Royal Hallamshire Hospital, Sheffield.
Br J Clin Pract. 1996 Sep;50(6):331-4.
Bacterial vaginosis (BV) is an alteration of the vaginal flora, where the normally predominant lactobacilli are replaced by a cocktail of organisms including Gardnerella vaginalis and anaerobes. It presents with a grey, homogenous, offensive vaginal discharge that has a raised pH. However, around half the women with this condition are asymptomatic. Diagnosis is best made by microscopic examination of a Gram-stained smear of vaginal secretions. Treatment is with metronidazole or clindamycin. The indications for treatment of asymptomatic BV are not clear, but women should probably be treated before any invasive gynaecological procedure, including intrauterine contraceptive device (IUCD) insertion. BV during pregnancy is associated with preterm labour, although a causal effect is not proven; studies are in progress to determine whether treatment of BV will improve the outcome of these pregnancies.
细菌性阴道病（BV）是阴道菌群的一种改变，其中通常占优势的乳酸杆菌被包括阴道加德纳菌和厌氧菌在内的多种微生物所取代。其表现为灰白色、均匀、有异味的阴道分泌物，pH值升高。然而，约一半患有这种疾病的女性没有症状。诊断最好通过对阴道分泌物革兰氏染色涂片进行显微镜检查来进行。治疗使用甲硝唑或克林霉素。无症状BV的治疗指征尚不清楚，但女性在进行任何侵入性妇科手术（包括宫内节育器（IUCD）插入）之前可能应接受治疗。孕期BV与早产有关，尽管因果关系尚未得到证实；正在进行研究以确定治疗BV是否会改善这些妊娠的结局。
