三种方法对阴道分泌物检测的比较.docVIP

精品论文 参考文献 三种方法对阴道分泌物检测的比较 黄荣幸 广西百色市人民医院 右江民族医学院西南附属医院检验科 广西百色 533000 【摘 要】目的：对郑州安图阴道炎五联检仪、珠海丽拓阴道炎五联检仪和显微镜的检测结果进行比较，为临床提供及时准确的诊断依据。方法：随机选取900例标本，用郑州安图阴道炎五联检仪和珠海丽拓阴道炎五联检仪同时检测，并进行显微镜镜检，对三种检测方法的结果进行kappa 检验比较。结果：郑州安图仪与镜检法检测结果相比较：过氧化氢（H2O2）假阳性率15.0%，假阴性率12.6%，K=0.714，Plt;0.05一致性良好；白细胞酯酶（LE）假阳性率5.0%，假阴性率37.2%，K=0.619，Plt;0.05一致性良好；唾液酸苷酶(SNA)假阳性率4.7%，假阴性率26.6%，K=0.646，Plt;0.05一致性良好；乙酰氨基葡萄糖甘酶(NAG)假阳性率15.4%，假阴性率8.8%，K=0.573，Plt;0.05一致性中等。珠海丽拓仪与镜检法检测结果相比较：过氧化氢（H2O2）假阳性率14.4%，假阴性率6.8%，K=0.791，Plt;0.05一致性良好；白细胞酯酶（LE）假阳性率7.0%，假阴性率35.5%，K=0.606，Plt;0.05一致性良好；唾液酸苷酶(SNA)假阳性率3.4%，假阴性率40.4%，K=0.617，Plt;0.05一致性良好；乙酰氨基葡萄糖甘酶(NAG)假阳性率16.9%，假阴性率10.1%，K=0.559，Plt;0.05一致性中等。结论：两台仪器检测过氧化氢、白细胞酯酶、唾液酸苷酶的结果与镜检法检测的结果一致性良好，检测乙酰氨基葡萄糖甘酶的结果与镜检法检测的结果一致性中等，并且两台仪器对白细胞酯酶检测的假阴性率均较高，而郑州安图仪检测唾液酸苷酶的假阴性率比珠海丽拓仪低。仪器法与镜检法联合应用，可提高检验结果的准确性。 【关键词】阴道分泌物；阴道炎五联检仪；显微镜 【中图分类号】R711.31【文献标识码】A【文章编号】2096-0867（2016）-2-412-03 The comparison of three methods for detecting vaginal secretions Huang Rongxing peoples hospital of guangxi baise, youjiang southwest national medical school affiliated hospital clinical laboratory, guangxi baise 533000 ,china. E-mail126.com Abstract: objective To zhengzhou anto vaginitis five joint inspection instrument, zhuhai lituo vaginitis five joint inspection instrument and microscope test results are compared, to provide timely and accurate clinical diagnosis. Methods Randomly selected 900 cases of specimens, with zhengzhou anto vaginitis five joint inspection instrument and zhuhai lituo vaginitis five joint inspection instrument detection at the same time, and under microscope, the results of three methods of testing kappa test comparison. Results Zhengzhou anto instrument compared with the testing results of microscopy method: hydrogen peroxide (H2O2) false-positive rate was 15.0%, false negative rate is 12.6%, K= 0.714, Plt; 0.05 good consistency; Leukocyte esterase (LE) false-positive rate was 5.0%, false negative rate is 37.2%, K = 0.619, P lt; 0.05 good consistency; Siali