生殖道衣原体、支原体感染与盆腔炎症的相关性分析

目的:探讨女性生殖道衣原体、支原体感染发生与盆腔炎症的相关性,并为相应人群提出相应的预防和治疗措施。方法:对我院2012年1月到2013年5月诊治的盆腔炎患者280例及60名健康妇女进行了衣原体、支原体的培养,采用试剂盒进行检查,并进行药敏实验,分析比较两组生殖道衣原体和支原体感染情况。结果:盆腔炎症组中衣原体感染的检出率为58.5%,支原体感染率为26.2%,衣原体合并支原体感染率为12.4%。健康妇女组衣原体感染、支原体感染及衣原体合并衣原体感染的检出率分别为:9.1%,6.2%和4.9%。两组的差异有统计学意义(P0.05)。在盆腔炎症患者组中,30岁人群中单纯衣原体感染和单纯支原体感染检出率分别为51.3%和26.4%,均要明显高于30岁以上的人群,差异有统计学意义(P0.05)。结论:盆腔炎症与生殖道衣原体,支原体感染有密切的相关性,盆腔炎的发病可能与生殖道衣原体、支原体感染有关,针对临床上盆腔炎患者应密切关注生殖道支原体、衣原体的感染问题。

Correlation Between the Pelvic Inflammation and Infection of Genital Chlamydia Trachomatis or Ureaplasma Urealyticum*

Objective： To investigate the correlation between the pelvic inflammation and infection of genital chlamydia trachom- atis or ureaplasma urealyticum and to provide corresponding prevention and treatment methods for such patients. Methods： 280 pelvic infectious cases and 60 healthy women in our hospital from Jan 2012 to May 2013 were selected for pathogen culture. Kit was adopted for inspection and drug sensitive experiments were managed. Both the chlamydia and myeoplasma infection in the genital tract of the two groups were analyzed and compared. Results： The chlamydia trachomatis infection detection rate of pelvic inflammation group was 58.5%, the ureaplasma urealyticum infection detection rate was 26.2%, chlamydia trachomatis merger ureaplasma urealyticum infection rate was 12.4%. For healthy women group, chlamydia trachomatis, ureaplasma urealyticum and chlamydia trachomatis infection complic- ated by ureaplasma urealyticum infection detection rate were, 9.1%, 6.2% and 4.9%, respectively. The differences between two groups were statistically significant （P〈0.05）. In group of patients with pelvic inflammation, crowd 〈 30 years old suffered pure chlamydia trach- omatis and ureaplasma urealyticum infection rates were 51.3% and 26.4% respectively, both significantly higher than those of people over the age of 30, and the difference was statistically significant （P〈0.05）. Conclusion： There is a close correlation between pelvic inflammation and genital tract chlamydia trachomatis, ureaplasma urealyticum infection,and the onset of pelvic inflammatory disease may be linked to genital tract chlamydia trachomatis, ureaplasma urealyticum infections. More close attention should be paid to the genital tract ureaplasma urealyticum and chlamydia trachomatis infection patients with pelvic inflammatory disease.