《检验专业英语》课件——阴道分泌物检查.pptxVIP

;;Procedure

1.Usesterile[?stera?l]swab[sw?b].使用无菌棉签

2.Collectsamplefromposterior[p??st??ri?]fornix[?f??n?ks].从后穹窿处采集样本

3.Transferwithin2hours.两小时内送检

;Vaginalsecretionsexaminationidentifiescauses[?k??z?z]ofvaginitis[v?d???na?t?s].

阴道分泌物检查用于确定阴道炎的病因

90%ofcasesinvolvetrichomoniasis[?tr?k??m??na??s?s],candidiasis[?k?nd??da??s?s]orbacterialvaginosis,BV.

90%病例由滴虫、念珠菌感染引起或者是细菌性阴道病;Method:Salinesuspension→400xmagnification

Addsalinetospecimen,coverslip,scanfor:生理盐水制片后镜检

1.Motile[?m??ta?l]trichomonads[?tr?k??m?n?dz]活动滴虫

2.Hyphae[?ha?fi?]orpseudohyphae菌丝或假菌丝

3.Cluecells线索细胞

;Vaginalcleanlinessisclassifiedintofourgradesbasedonthequantityoflactobacilli[?l?kt??b??s?la?],pathogen,epitheialcellsandwhitebloodcells.

GradeI-IIarenormal.GradeIII-IVsuggestinfection.

清洁度I-II级为正常，III-IV级提示感染;Normal:pH≤4.5

pH4.5suggestsbacterialvaginosisortrichomoniasis[?tr?k??m??na??s?s].

提示细菌性阴道病或滴虫感染

Positivewhiff[w?f]test:fishysmellafterKOH（?potassiumhydroxide[]ha??dr?ksa?d]),furtherconfirmsBV.

胺试验阳性,:加氢氧化钾后鱼腥味进一步支持细菌性阴道病

Alwayscorrelate[?k?r?le?t]withmicroscopy!需与镜检结果结合分析！;

1.Samplefreshness2hrs.标本新鲜，两小时内完成检查

2.Falsenegativesoccurifdelayedprocessing.标本延迟处理可导致假阴性

3.Alwaysverifyborderlineresultswithacolleague.可疑结果需双人复核

4.Proficiencytestingismandatory[?m?nd?t??ri]!必须参加室间质评！;DiagnosticCriteria[kra??t??ri?]forBacterialVaginosis细菌性阴道病诊断标准?;ThankYou!