尿沉渣白细胞计数和细菌计数对男性淋菌性尿道炎的诊断价值
樊黎，张昭平
（凤翔县医院，陕西宝鸡，721400）
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摘要：
目的 探究尿沉渣白细胞计数和细菌计数对男性淋菌性尿道炎的临床诊断价值。方法 选择2014年9月至2015年9 月收治的60例疑似男性淋菌性尿道炎患者为研究对象，对所有患者进行尿沉渣白细胞计数和细菌计数诊断，并分析尿沉渣在男性淋菌性尿道炎患者中的诊断意义。结果 患者革兰阴性双球菌细菌值为70.65(0.69~1 795.75)个/L，低于革兰阳性球菌1 459.24(24.36~9 486.74)个/L 和革兰阴性杆菌的10 875.25(12.98~73 654.65)个/滋L，差异具有统计学意义(P<0.05)，涂片染色镜检阳性率为75.00%(45/60)，同时诊断的敏感性、特异性、漏诊率、误诊率分别为95.56%、93.33%、4.44%、6.67%。结论 尿沉渣白细胞计数和细菌计数在男性淋菌性尿道炎患者中具有一定诊断价值。
关键词：尿沉渣白细胞计数；细菌计数；男性淋菌性尿道炎
中图分类号：R759.2；R446.12文献标志码：A文章编号：2096-1413(2017)05-0141-02
The diagnosis significance of urinary leukocyte count and bacterium count for male gonococcal urethritis
FAN Li，ZHANG Zhao-ping
(Fengxiang County Hospital, Baoji 721400, China)
ABSTRACT: Objective To investigate the diagnosis significance of urinary leukocyte count and bacterium count for male gonococcal urethritis. Methods Sixty cases of patients who were suspected gonococcal urethritis in our hospital from September 2014 to September 2015 were selected as study objects. And all the patients underwent urinary leukocyte count and bacterium count diagnosis. The diagnostic significance of urinary leukocyte count and bacterium count for male gonococcal urethritis was analyzed. Results The count of gram negative bacteria was 70.65 (0.69~1 795.75)/L, which was lower than 1 459.24 (24.36~9 486.74)/L of gram positive cocci and 10 875.25 (12.98~73 654.65)/L of gram negative bacilli,and the difference between the two groups was significant (P<0.05). The smear positive rate was 75.00% (45/60), and the rate of sensitivity, specificity, the missed diagnosis and misdiagnosis were 95.56%, 93.33%, 4.44%, 6.67% respectively. Conclusion Urinary leukocyte count and bacterium count for male gonococcal urethritis have remarkable diagnosis value.
KEYWORDS: urinary leukocyte count; bacterium count; male gonococcal urethritis
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