浙江医学
浙江醫學
절강의학
ZHEJIANG MEDICAL JOURNAL
2013年
21期
1911-1913
,共3页
马英英%夏舟岚%陈惠娟%陆月红%姚利萍
馬英英%夏舟嵐%陳惠娟%陸月紅%姚利萍
마영영%하주람%진혜연%륙월홍%요리평
不孕症%生殖道感染%病原体
不孕癥%生殖道感染%病原體
불잉증%생식도감염%병원체
Infertility%Reproductive tract infections%Pathogens
目的:了解原发不孕与继发不孕妇女生殖道感染的情况及其病原体分布。方法对1462例不孕患者的临床资料进行回顾性分析,分为原发不孕组和继发不孕组,分别对其阴道分泌物、宫颈分泌物及血清进行生殖道感染相关病原体的检测。结果1462例不孕妇女中,原发不孕477例,继发不孕985例。共检出生殖道感染者655例,总体感染率为44.80%。原发不孕组中共检出生殖道感染者186例,感染率为38.99%;继发不孕组中共检出生殖道感染者469例,感染率为47.61%。总体病原体检出率:依次为解脲支原体(25.72%)、阴道加德纳氏菌(15.87%)、假丝酵母菌(11.08%)、沙眼衣原体(5.06%)、人型支原体(2.33%)、阴道毛滴虫(0.75%)、梅毒螺旋体(0.55%)、淋球菌(0.34%)、人类免疫缺陷病毒(0.07%)。两组中衣原体感染率继发不孕组明显高于原发不孕组,其余病原体感染率差异无统计学意义。结论在不孕妇女中常规进行阴道分泌物病原体检测及血清梅毒螺旋体、HIV的检测非常重要。继发不孕妇女尤其要重视衣原体的检测。
目的:瞭解原髮不孕與繼髮不孕婦女生殖道感染的情況及其病原體分佈。方法對1462例不孕患者的臨床資料進行迴顧性分析,分為原髮不孕組和繼髮不孕組,分彆對其陰道分泌物、宮頸分泌物及血清進行生殖道感染相關病原體的檢測。結果1462例不孕婦女中,原髮不孕477例,繼髮不孕985例。共檢齣生殖道感染者655例,總體感染率為44.80%。原髮不孕組中共檢齣生殖道感染者186例,感染率為38.99%;繼髮不孕組中共檢齣生殖道感染者469例,感染率為47.61%。總體病原體檢齣率:依次為解脲支原體(25.72%)、陰道加德納氏菌(15.87%)、假絲酵母菌(11.08%)、沙眼衣原體(5.06%)、人型支原體(2.33%)、陰道毛滴蟲(0.75%)、梅毒螺鏇體(0.55%)、淋毬菌(0.34%)、人類免疫缺陷病毒(0.07%)。兩組中衣原體感染率繼髮不孕組明顯高于原髮不孕組,其餘病原體感染率差異無統計學意義。結論在不孕婦女中常規進行陰道分泌物病原體檢測及血清梅毒螺鏇體、HIV的檢測非常重要。繼髮不孕婦女尤其要重視衣原體的檢測。
목적:료해원발불잉여계발불잉부녀생식도감염적정황급기병원체분포。방법대1462례불잉환자적림상자료진행회고성분석,분위원발불잉조화계발불잉조,분별대기음도분비물、궁경분비물급혈청진행생식도감염상관병원체적검측。결과1462례불잉부녀중,원발불잉477례,계발불잉985례。공검출생식도감염자655례,총체감염솔위44.80%。원발불잉조중공검출생식도감염자186례,감염솔위38.99%;계발불잉조중공검출생식도감염자469례,감염솔위47.61%。총체병원체검출솔:의차위해뇨지원체(25.72%)、음도가덕납씨균(15.87%)、가사효모균(11.08%)、사안의원체(5.06%)、인형지원체(2.33%)、음도모적충(0.75%)、매독라선체(0.55%)、림구균(0.34%)、인류면역결함병독(0.07%)。량조중의원체감염솔계발불잉조명현고우원발불잉조,기여병원체감염솔차이무통계학의의。결론재불잉부녀중상규진행음도분비물병원체검측급혈청매독라선체、HIV적검측비상중요。계발불잉부녀우기요중시의원체적검측。
Objective To assess reproductive tract infections(RTI) and pathogens distribution in women with primary in-fertilities and secondary infertilities. Methods The clinical data of 1462 women with infertilities, including 477 cases of primary infertilities and 985 cases with secondary infertilities, were retrospectively analyzed. The samples of vaginal secretion, cervical secretion and serum were col ected and pathogens of reproductive tract infection were detected. Results Among 1462 cases, reproductive tract infections were detected in 655 (44.80%); the infection rate in primary infertility group was 38.99%(186/477) and that in secondary infertility group was 47.61%(469/985). Ureaplasma urealyticum(25.72%) was the most common pathogen of RTI, fol owed by Gardnerel a vaginalis (15.87%), Candida Albicans (11.08%), Chlamydia trachomatis (5.06%), Mycoplasma hominis(2.33%), vaginal hair trichomoniasis (0.75%), syphilis(0.55%) , gonococcal(0.34%) and HIV(0.07%). The chlamydia tra-chomatis infection in secondary infertility group was significantly higher than in primary infertility group, while for other pathogens there were no statistical differences in infection rates. Conclusion The detection of RTI pathogens in vaginal secre-tions and syphilis, HIV in serum detection is of importance for infertility women; and detection of Chlamydia trachomatis is im-portant for those with secondary infertilities.