CAJ | 학술논문

目的探讨细小脲原体(Up)在泌尿生殖道炎中的临床特点.方法对1 477例泌尿生殖道分泌物进行Up、沙眼衣原体(Ct)、人乳头状瘤病毒(HPV)、单纯疱疹病毒(HSV)和淋球菌PCR检测和解脲脲原体(Uu)和人型支原体(Mh)培养.1 240例分泌物进行了涂片革兰染色.结果 1 477例泌尿生殖道分泌物检测病原体阳性854例,检出率为57.82%(854/1 477). Up阳性占26.70%(228/854),其中占男性17.53%(64/365),占女性33.54%(164/489),男女Up阳性率差异有统计学意义. 随着分泌物涂片革兰染色分级的增加,泌尿生殖道病原体阳性率也增加,且对比差异有统计学意义, 说明分泌物涂片革兰染色对临床感染程度有一定的提示作用. 结论 Up是泌尿生殖道炎主要病原体之一.Up感染可见于病人体弱者,在感染病原体量大、感染时间长等条件下可引起临床症状. PCR法检测Up对泌尿生殖道感染高危人群及有临床症状者能够做到诊断准确、快速,有临床应用价值.
목적 탐토세소뇨원체(Up)재비뇨생식도염중적림상특점.방법 대1 477례비뇨생식도분비물진행Up、사안의원체(Ct)、인유두상류병독(HPV)、단순포진병독(HSV)화림구균PCR검측화해뇨뇨원체(Uu)화인형지원체(Mh)배양.1 240례분비물진행료도편혁란염색.결과 1 477례비뇨생식도분비물검측병원체양성854례,검출솔위57.82%(854/1 477). Up양성점26.70%(228/854),기중점남성17.53%(64/365),점녀성33.54%(164/489),남녀Up양성솔차이유통계학의의. 수착분비물도편혁란염색분급적증가,비뇨생식도병원체양성솔야증가,차대비차이유통계학의의, 설명분비물도편혁란염색대림상감염정도유일정적제시작용. 결론 Up시비뇨생식도염주요병원체지일.Up감염가견우병인체약자,재감염병원체량대、감염시간장등조건하가인기림상증상. PCR법검측Up대비뇨생식도감염고위인군급유림상증상자능구주도진단준학、쾌속,유림상응용개치.
Objective To research the clinical features of Ureaplasma parvum (Up) in urinogenital tract infection. Methods The secretion in urinogenital tract was detected by polymerase chain reaction (PCR) examination in Up, Chlamydia trachomatis (Ct), HPV, HSV and Neisseria gonococcus (NG), and by Ureaplasma urealytium and Macoplasma homonis culture. Secretion of 1 240 cases was smeared with Gram stain. Results 854 cases had positive pathogen by examination of urinogenital tract secretion of 1 477 cases. The pathogen positive rate was 57.82%(854/1477). The positive rate of Up was 26.70%(228/854). Of the positive Up cases, male and female positive rates were 17.53%(64/365) and 33.54%(164/489) respectively. The difference of Up positive rates between male and female groups had statistical significance. With the increasing in the smear Gram stain degrees, pathogen positive rates of urinogenital tract also increased, and had statistical significance, showing that the smear Gram stain may suggest inflective degree. Conclusion Up is one of the major pathogens of urinogenital tract infection. Infection caused by Up may be seen in feeble cases and lead to clinical symptoms when quantity of Up is more and continuous infecting time is longer. Detection of Up by PCR may diagnose urinogenital tract infection accurately and quickly in high risk crowd of urinogenital tract infection and with clinical symptoms, and have applicable value in clinic.