评估阴道的投诉
Matthew R Anderson1, Kathleen Klink, Andreas Cohrssen
1Department of Family and Social Medicine, Albert Einstein College of Medicine, Bronx, NY, USA. andersonma@aol.com
JAMA
|March 18, 2004
概括
诊断阴道感染的临床诊断,如候群病和细菌性阴道炎是具有挑战性的. 阴道泄漏的显微镜是这些常见的妇科病情的最有效的诊断工具.
科学领域:
- 妇科 妇科医生 妇科
- 传染性疾病 传染性疾病
- 诊断医学 诊断医学 诊断医学
背景情况:
- 阴道症状是妇科咨询的常见原因.
- 传统的诊断方法包括体检,pH值,湿和气味测试.
- 仅使用这些方法就很难区分阴道角膜炎,细菌性阴道炎和三炎.
研究的目的:
- 为了评估常见的阴道感染的临床检查的诊断准确性.
- 确定与阴道角膜病,细菌性阴道病和三病相关的症状和征兆的阳性和阴性概率比 (LR).
主要方法:
- 对1966年至2003年出版的文章进行了结构化的文献综述.
- 研究包括了在初级保健机构中出现症状的绝经前妇女.
- 提取和分析了症状,征兆和办公室实验室测试的敏感性和特异性数据.
主要成果:
- 个体症状和体检迹象对区分阴道感染的诊断能力有限.
- 缺乏会降低疹的可能性,而缺乏气味会降低细菌性阴道炎的可能性.
- 阴道泄漏的显微镜被认为是这些疾病中最有用的诊断工具.
结论:
- 虽然典型的显微镜检查结果可以帮助诊断,但单个临床因素的表现不佳往往使识别阴道症状的原因变得复杂.
- 办公室实验室测试,特别是显微镜,对于准确的诊断至关重要.
- 可能需要进一步的研究来提高临床检查组件的诊断效用.
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