CAJ | 학술논문

目的：了解全子宫切除术后患者阴道微生态的恢复情况，探讨全子宫切除术后阴道微生态评价的临床意义。方法：选取40例全子宫切除术后2个月复查的患者，取阴道分泌物进行微生态评价，以同期40例体检妇女作为对照。结果：全子宫切除术后阴道优势菌以乳酸杆菌为主的者占41%；菌群密集度多为（＋＋）～（＋＋＋），占50%；菌群多样性多为（＋＋）～（＋＋＋），占42.5%；pH≤4.5，占35%；外因阴道假丝酵母菌（VVC）阳性率为5%；阴道毛滴虫阳性率为2.5%；细菌性阴道病（BV）阳性率为25%；微生态失调的发生率为67.5%。结论：全子宫切除术后，阴道微生态失调发生率明显增高；全子宫切除术后阴道微生态的失调与全子宫切除手术范围、卵巢去留等无关；全子宫切除术后细菌性阴道病的发病率增高；评价全子宫切除术后阴道微生态环境的状况，对预防与治疗术后生殖道感染具有重要指导意义。
목적：료해전자궁절제술후환자음도미생태적회복정황，탐토전자궁절제술후음도미생태평개적림상의의。방법：선취40례전자궁절제술후2개월복사적환자，취음도분비물진행미생태평개，이동기40례체검부녀작위대조。결과：전자궁절제술후음도우세균이유산간균위주적자점41%；균군밀집도다위（＋＋）～（＋＋＋），점50%；균군다양성다위（＋＋）～（＋＋＋），점42.5%；pH≤4.5，점35%；외인음도가사효모균（VVC）양성솔위5%；음도모적충양성솔위2.5%；세균성음도병（BV）양성솔위25%；미생태실조적발생솔위67.5%。결론：전자궁절제술후，음도미생태실조발생솔명현증고；전자궁절제술후음도미생태적실조여전자궁절제수술범위、란소거류등무관；전자궁절제술후세균성음도병적발병솔증고；평개전자궁절제술후음도미생태배경적상황，대예방여치료술후생식도감염구유중요지도의의。
Objective:To understand the recovery of patients after total hysterectomy vaginal microecological,investigate clinical significance of vaginal micro ecological evaluation after hysterectomy. Methods:Methods:The vaginal secretions of 40 cases of total hysterectomy two months later were microecology evaluated. 40 cases of physical examination of women as a con-trol. Results:After total hysterectomy vaginal advantage bacterium is given priority to with lactic acid bacteria,accounting for 41% . Bacteria concentration in( + + )~( + + + ),accounted for 50% . Flora diversity in( + + )~( + + + ),accounted for 42. 5% ;pH 4. 5 or less,accounting for 35% . VVC positive rate is 5% . Trichomonas vaginalis positive rate is 2. 5% . BV posi-tive rate is 25% . The incidence of micro ecological imbalance accounted for 67. 5% . Conclusion:After total hysterectomy,vagi-nal microecological imbalance rate increased obviously. The vaginal microecological imbalance is not connect in total hysterec-tomy range,ovarian going or staying. Bacterial vaginosis after total hysterectomy increased. Evaluation total hysterectomy vaginal microenvironment conditions,the prevention and treatment of reproductive tract infections after surgery has important guiding significance.