沙眼衣原体和解脲支原体感染与输卵管性不孕症关系的研究  

Relationship between the infection of chlamydia trachomatis and/or ureaplasma urealyticum and tubal infertility

作　　者：郑英如[1] 李力[1] 陈伟[2] 郭建新[1] 胡珊[1] 颜耀华[1] 

机构地区：[1]第三军医大学大坪医院野战外科研究所妇产科,重庆400042 [2]第三军医大学大坪医院野战外科研究所检验科,重庆400042

出　　处：《第三军医大学学报》2005年第21期2187-2188,共2页Journal of Third Military Medical University

摘　　要：目的探讨女性生殖道沙眼衣原体(chlamydia trachomatis,CT)和解脲支原体(ureaplasma urealyticum,UU)感染与输卵管性不孕症的关系。方法检测152例不孕症患者(原发不孕症69例,继发不孕症83例)宫颈黏液的CT(免疫荧光法)和UU(液体培养法),于检查后1～6个月内月经后3～7d行子宫输卵管碘油造影或腹腔镜检查,了解输卵管通畅情况。结果输卵管堵塞患者中,UU阳性率为25.0%,CT阳性率为15.6%,合并感染者12.5%;而输卵管通畅患者中,UU阳性率为11.3%,CT阳性率5.7%,合并感染者3.4%。二者相差均显著(P<0.05)。结论支原体及衣原体感染在输卵管性不孕症的发病中起重要作用。Objective To study the relationship between the infection of chlamydia trachomatis （CT） and/or ureaplasma urealyticum （UU） and tubal infertility. Methods CT was detected by immunofluorescence and UU detected by liquid incubation in the secretions of uterine cervix of women who suffered from primary infertility （69 cases） and secondary infertility （83 cases）. The appearance of fallopian tubes was examined by celoscope and tubography in 1 to 6 months after pathogen detection. Results The infection rate of CT, UU, CT combined with UU was 25.0% , 15.6% and 12.5% respectively in women with obstruction of fallopian tubes, whereas in those with unblocked fallopian tubes the corresponding infection rate was 11.3% （P 〈 0.05）, 5.7% （P〈0.05） and3.4% （P〈0.05） respectively. Conclusion The infection of CT and/or UU might play an important role in the tubal infertility.

关 键 词：沙眼衣原体 解脲支原体 输卵管 不孕 

分 类 号：R374.1[医药卫生—病原生物学] R375.3[医药卫生—基础医学]