宫颈常见微生物感染细胞病理学观察
宫颈微生物感染；细菌；放线菌；滴虫,,宫颈微生物感染；细菌；放线菌；滴虫,1材料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨宫颈常见微生物感染的细胞病理学特点及诊断。方法 结合文献对316例宫颈特异性感染的细胞标本进行光镜观察。结果 细菌感染主要是球杆菌引起的感染，其爬满上皮形成的线索细胞是诊断细菌性阴道病的特征性依据。霉菌感染，最常见为白色念珠菌引起的感染，念珠菌假菌丝嗜曙红，呈竹节状，有锐角分支，常呈“发芽树枝”状或“麻辣串”状穿插于上皮细胞中，可同时见孢子或芽孢并存。放线菌为具有锐角分支的细丝样微生物，呈纷乱团状排列，外观似“破棉絮球”或“破驼毛”片状。滴虫呈梨形，虫体内有一偏位梭形核似滴虫的“脊梁”，常爬在上皮细胞上，也可呈团片状或散在出现。HPV感染的主要特征是挖空细胞形成。HSV感染，细胞常多核，核拥挤镶嵌排列而不重叠，核内可见嗜酸性包涵体。结论 宫颈常见微生物及其感染细胞病理特征明显，诊断容易。【关键词】 宫颈微生物感染；细菌；放线菌；滴虫
The cytopathological observation on organism infection in cervix
HOU Weihua, HU Xuexin, LI Congyang.Department of Pathology, The 152nd Hospital of PLA, Pingdingshan 467000, China
【Abstract】 Objective To explore cytopathological features and diagnosis of organism infection in cervix.Methods Analysis of the clinical materials of 316 cases of organism infection in cervix and review of the related documents were carried out.Results Bacteria infection was predominant coccobacilli and its character was clue cell. Mould infection mainly resulted from candida. Pseudohyphae of candida was eosin and ring shape, and spore was always observed. The features of actinomyces infection was filamentous colony, which was “cotton ball” shape. Trichomonas was pear shape and the chine-like nuclear was the base for diagnosis. The mainly stamp of HPV infection was koilocytosis. The cell nuclear which was infected with HSV was “ground-glass” appearance. etc. NSE was weak positive in one case, EMA were negative in both cases.Conclusion The cytopathological feature of organism infection in cervix is clear and easy for diagnosis. ......
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