白帶常規檢查是白带标准一種在如今的婦科中 ,比較常見的常规一種檢查方式,通過白帶檢查,检查可以查出多種類型的正常婦科病 ,使女性能夠更加明確自己的白带标准健康狀況 ,如果有疾病的常规話,也能夠早日進行治療 ,检查以避免病情惡化給女性的正常健康帶來更大的威脅 。下麵,白带标准就為大家介紹一下白帶常規檢查的常规正常標準等相關知識!
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一 、检查檢查內容
1.陰道pH
正常陰道pH值為4~4.5,正常呈弱酸性,白带标准可防止致病菌在陰道內繁殖。常规
2.陰道清潔度
陰道清潔度可分為4級 :I度 :顯微鏡下見到大量陰道上皮細胞和大量陰道杆菌。检查Ⅱ度 :鏡下見有陰道上皮細胞,少量白細胞,有部分陰道杆菌 ,可有少許雜菌或膿細胞。Ⅲ度:鏡下見有少量陰道杆菌 ,有大量膿細胞與雜菌。Ⅳ度:鏡下未見到陰道杆菌,除少量上皮細胞外主要是膿細胞與雜菌 。I~Ⅱ度屬正常 ,Ⅲ~Ⅳ度為異常白帶,表示陰道有炎症。
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3.陰道微生物
正常情況:無 。一般會有真菌、滴蟲、淋球菌等項,如果有,則在結果上標示“+”(陽性),沒有就是“-”(陰性)。
4.胺試驗又稱胺臭味試驗
是診斷細菌性陰道疾病的方法。患有細菌性婦科炎症,白帶可發出魚腥味 ,由於厭氧菌產生的胺遇氫氧化鉀釋放氨氣所致 。
5.線索細胞
是細菌性陰道炎的最敏感 、最特異的體征,根據胺試驗陽性及有線索細胞即可做出細菌性陰道炎的診斷。
二、臨床意義
1.陰道pH值>5~6時,可能為滴蟲性或細菌性陰道炎。
2.陰道清潔度為Ⅲ~Ⅳ度時,可能提示為陰道炎 。
3.陰道微生物檢查出念珠菌、滴蟲呈陽性,可提示有陰道炎 。
4.白帶性狀異常 ,如呈黃色或黃綠色伴臭味時 ,可能為滴蟲性陰道炎;白帶呈豆腐渣樣 ,可能提示為真菌性陰道炎。
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三 、注意事項
以下情況會影響白帶檢查結果,應避免。
1.在進行白帶檢查前的24小時內 ,避免同房 。
2.檢查前避免進行盆浴 、陰道灌洗及局部用藥。
3.不宜在行經前後 、妊娠期、應用雌激素藥物後進行白帶檢查 。
(责任编辑:熱點)
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