CAJ | 학술논문

目的：通过检测TORCH感染孕妇IgG亲和力指数（AI），探讨 TORCH感染类型与妊娠结局间关系。方法收集TORCH各型病原体IgM阳性孕妇血清，检测其IgG亲和力指数（AI），并追踪妊娠结局。结果在TORCH各病原体近期感染的孕妇中，HSV（含1型及2型）、RUB、CMV、TOXO原发感染（AI＜30％）的比例分别为0、3．8％、9．3％、7．9％；在CMV原发感染的10例孕妇中，2例妊娠结局异常（稽留流产），CMV疑似原发感染孕妇中发现1例为异常妊娠；TOXO原发感染孕妇发现1例为胎儿畸形（脑积水），其余均为正常妊娠。结论在TORCH各病原体近期感染的孕妇中，以非原发性感染为主；而巨细胞及弓形虫原发感染对胎儿的侵害则远大于非原发感染。
목적：통과검측TORCH감염잉부IgG친화력지수（AI），탐토 TORCH감염류형여임신결국간관계。방법수집TORCH각형병원체IgM양성잉부혈청，검측기IgG친화력지수（AI），병추종임신결국。결과재TORCH각병원체근기감염적잉부중，HSV（함1형급2형）、RUB、CMV、TOXO원발감염（AI＜30％）적비례분별위0、3．8％、9．3％、7．9％；재CMV원발감염적10례잉부중，2례임신결국이상（계류유산），CMV의사원발감염잉부중발현1례위이상임신；TOXO원발감염잉부발현1례위태인기형（뇌적수），기여균위정상임신。결론재TORCH각병원체근기감염적잉부중，이비원발성감염위주；이거세포급궁형충원발감염대태인적침해칙원대우비원발감염。
Objective To explore the relationship between the type of TORCH infection and pregnancy outcome through the de-tection of TORCH infection in pregnant women with IgG avidity index (AI) .Methods Collected each type of TORCH pathogens IgM positive maternal serum ,and detect the IgG avidity index and track the outcome of pregnancy .Results The rate of TORCH pathogens recent infection (AI<30% )in pregnant women ,HSV ,RUB ,CMV ,TOXO respectively were 0 ,3 .8% ,9 .3% ,7 .9% ;In the group of pregnant women with TORCH-IgG AI<30% ,there were 2 cases of pregnancy outcome of abnormal (missed abortion) and one case of fetal malformations (hydrocephalus) .Conclusion In the recent infection of TORCH pathogens in pregnant women , mainly are non-primary infection ;The damage of cytomegalovirus and Toxoplasma gondii primary infection to the fetus is much larger than the non-primary infection .