CAJ | 학술논문

目的：探讨继发不孕妇女生殖道感染的情况及与输卵管炎症的相关性。方法对985例继发不孕妇女的临床资料进行回顾性分析，采用碘海醇注射液进行子宫输卵管造影，根据输卵管通畅情况分为3组，即输卵管完全阻塞组（A组）、部分阻塞组（B组）和通畅组（C组），取宫颈分泌物进行生殖道病原体（解脲支原体、沙眼衣原体、人型支原体）检测，并进行临床分析。结果在继发不孕的985例患者中，感染率依次为解脲支原体25．48％（251/985）、沙眼衣原体5．89％（58/985）、人型支原体2．44％（24/985）。其中解脲支原体感染者输卵管通畅组与完全阻塞组及部分阻塞组均有统计学差异（Pearsonχ2＝40．629，P＜0．05；沙眼衣原体感染者输卵管通畅组与完全阻塞组有统计学差异（ Pearsonχ2＝6．898，P＜0．05）；人型支原体感染者输卵管通畅与否均无统计学意义（ Pearsonχ2＝2．897，P＞0．05）。结论在继发不孕妇女中，应重视对解脲支原体、沙眼衣原体的检测，从而降低输卵管性不孕的发生率。
목적：탐토계발불잉부녀생식도감염적정황급여수란관염증적상관성。방법대985례계발불잉부녀적림상자료진행회고성분석，채용전해순주사액진행자궁수란관조영，근거수란관통창정황분위3조，즉수란관완전조새조（A조）、부분조새조（B조）화통창조（C조），취궁경분비물진행생식도병원체（해뇨지원체、사안의원체、인형지원체）검측，병진행림상분석。결과재계발불잉적985례환자중，감염솔의차위해뇨지원체25．48％（251/985）、사안의원체5．89％（58/985）、인형지원체2．44％（24/985）。기중해뇨지원체감염자수란관통창조여완전조새조급부분조새조균유통계학차이（Pearsonχ2＝40．629，P＜0．05；사안의원체감염자수란관통창조여완전조새조유통계학차이（ Pearsonχ2＝6．898，P＜0．05）；인형지원체감염자수란관통창여부균무통계학의의（ Pearsonχ2＝2．897，P＞0．05）。결론재계발불잉부녀중，응중시대해뇨지원체、사안의원체적검측，종이강저수란관성불잉적발생솔。
Objective To investigate the reproductive tract infections and their relationship with the inflammation of fallopian tubes in secondary infertility women .Methods Retrospective analysis was conducted on the clinical data of 985 cases of secondary infertility . Hysterosalpingography (HSG) was performed to understand the condition of fallopian tube .All of the secondary infertility women were divided into 3 groups according to the smoothness of fallopian tube , completely blocked group (group A), partially blocked group (group B) and tubal fluent group ( group C ) .Cervical secretions were taken for checking reproductive tract pathogens ( including ureaplasma urealyticum, Chlamydia trachomatis and mycoplasma hominis ).Results In 985 cases of secondary infertility, the infection rate of ureaplasma urealyticum, Chlamydia trachomatis and mycoplasma hominis was 25.48%(251/985), 5.89%(58/985) and 2.44%(24/985), respectively.The differences in the infection rate of ureaplasma urealyticum among three groups was significant ( Pearson χ2 =40.629,P<0.05), and the difference in that of Chlamydia trachomatis infection was significant between group C and group A (Pearsonχ2 =6.898,P<0.05).However, the infection rate of mycoplasma hominis among three groups showed no significant difference (Pearsonχ2 =2.897, P>0.05).Conclusion Attention should be paid to the detection of ureaplasma urealyticum and Chlamydia trachomatis in secondary infertility women , so as to reduce the incidence of tubal infertility .