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中华临床实验室管理电子杂志 ›› 2026, Vol. 14 ›› Issue (01) : 12 -20. doi: 10.3877/cma.j.issn.2095-5820.2026.01.004

标准、指南与共识

阴道微生态评价临床检验与结果报告规范化专家共识
中国人体健康科技促进会临床检验科学技术转化专业委员会 广东省医师协会检验医师分会   
  • 收稿日期:2026-01-27 出版日期:2026-02-28

Expert consensus on the standardization of clinical laboratory evaluation and reporting of vaginal microecology

The Clinical Laboratory Science and Technology Transformation Professional Committee of the China Association for Promotion of Health Science and Technology, Branch of Clinical Laboratory Physicians of the Guangdong Medical Doctor Association   

  • Received:2026-01-27 Published:2026-02-28
引用本文:

中国人体健康科技促进会临床检验科学技术转化专业委员会 广东省医师协会检验医师分会. 阴道微生态评价临床检验与结果报告规范化专家共识[J/OL]. 中华临床实验室管理电子杂志, 2026, 14(01): 12-20.

The Clinical Laboratory Science and Technology Transformation Professional Committee of the China Association for Promotion of Health Science and Technology, Branch of Clinical Laboratory Physicians of the Guangdong Medical Doctor Association. Expert consensus on the standardization of clinical laboratory evaluation and reporting of vaginal microecology[J/OL]. Chinese Journal of Clinical Laboratory Management(Electronic Edition), 2026, 14(01): 12-20.

阴道微生态评价是妇科感染性疾病诊疗的重要依据,但目前各级医疗机构在标本采集及前处理、质量控制、形态学检查及化学检查、结果报告及临床应用等方面尚不规范。为此,中国人体健康科技促进会临床检验科学技术转化专业委员会、广东省医师协会检验医师分会邀请检验与临床专家,结合国内外标准、指南及最新研究进展,经反复讨论、修订与审核,制定《阴道微生态评价临床检验与结果报告规范化专家共识》(简称《共识》),旨在推动阴道微生态评价的规范化与标准化应用。

Vaginal microecological evaluation is essential for the diagnosis and treatment of gynecological infectious diseases. However, the processes of specimen collection and pretreatment, quality control, morphological and chemical examination, result reporting and clinical application remain inadequately standardized across medical institutions at various levels. To address these inconsistencies, the Clinical Laboratory Science and Technology Transformation Professional Committee of the China Association for Promotion of Health Science and Technology and Branch of Clinical Laboratory Physicians of the Guangdong Medical Doctor Association convened a panel of experts in laboratory medicine and clinical practice. By integrating domestic and international standards, guidelines, and the latest research, and through a rigorous process of discussion, revision, and review, the panel formulated the "Expert Consensus on the Standardization of Clinical Laboratory Evaluation and Reporting of vaginal Microecology" (hereinafter referred to as the "Consensus"). This initiative aims to promote the standardized and consistent application of vaginal microecological evaluation.

表1 标本采集部位及适用范围
表2 菌群密集度分级标准
表3 菌群多样性分级标准
表4 阴道优势菌群判断标准
表5 Nugent评分标准
表6 Donders评分标准
表7 革兰染色涂片结合临床特征的AV评分标准a
表8 化学检查项目的临床意义
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