CAJ | 학술논문

目的：探讨有梅毒血清试验阳性史的女性不孕症患者对其妊娠和胎儿的影响。方法：分析2006年1月～2012年6月在我院生殖中心就诊的女性不孕症患者的临床资料，随访有梅毒血清试验阳性史患者的妊娠及新生儿情况。结果：梅毒血清试验阳性者169例（1.40％）：RPR阳性！ TPPA阴性4例，RPR阴性！ TPPA阳性19例，RPR、TPPA均阳性146例；经驱梅治疗后，梅毒血清试验阳性者42例：RPR阳性！ TPPA阴性2例，RPR阴性！ TPPA阳性13例，RPR、TPPA均阳性27例。98例患者通过辅助生殖成功怀孕，83例分娩出正常新生儿，16例在孕期；12例新生儿梅毒血清试验阳性，经驱梅治疗后10月内均转阴性，所有新生儿均无明显异常。结论：女性不孕症患者中梅毒血清试验阳性的检出较高；有梅毒血清试验阳性的女性不孕症患者，通过规范驱梅或实验性治疗后，可进行辅助生殖且娩出健康的新生儿。
목적：탐토유매독혈청시험양성사적녀성불잉증환자대기임신화태인적영향。방법：분석2006년1월～2012년6월재아원생식중심취진적녀성불잉증환자적림상자료，수방유매독혈청시험양성사환자적임신급신생인정황。결과：매독혈청시험양성자169례（1.40％）：RPR양성！ TPPA음성4례，RPR음성！ TPPA양성19례，RPR、TPPA균양성146례；경구매치료후，매독혈청시험양성자42례：RPR양성！ TPPA음성2례，RPR음성！ TPPA양성13례，RPR、TPPA균양성27례。98례환자통과보조생식성공부잉，83례분면출정상신생인，16례재잉기；12례신생인매독혈청시험양성，경구매치료후10월내균전음성，소유신생인균무명현이상。결론：녀성불잉증환자중매독혈청시험양성적검출교고；유매독혈청시험양성적녀성불잉증환자，통과규범구매혹실험성치료후，가진행보조생식차면출건강적신생인。
To study the influence of syphilis serum test positive on pregnancy and fetus of fe-male infertility patients.Methods:To analyze the data of female infertility patients visiting our reproductive medi-cine center from January 2006 to June 2012,and follow up the pregnancy and neonatal of syphilis serum test positive patients.Results:In 169 cases (1.40%)of syphilis serum test positive specimens,there were 4 cases of RPR pos-itive and TPPA negative,19 cases of RPR negative and TPPA positive,146 cases of RPR positive and TPPA posi-tive.After antisyphilitic treatment,there were 2 cases of RPR positive and TPPA negative,13 cases of RPR nega-tive and TPPA positive,and 27 cases of RPR positive and TPPA positive.98 patients were conceived by assisted re-productive;86 patients had delivered normal newborns;16cases were in pregnancy.12 neonates with positive syphi-lis serum test results all became negative 10 months later after antisyphilitic treatment.Conclusions:The syphilis serum test positive rate of female infertility patients is high;Female infertility patients of positive syphilis serum test results can be assisted for reproduction with antisyphilitic treatment.