衣原体和支原体感染与盆腔炎症的关系探讨  

The relationship of Chlamydia trachomatis and Mycobacterium in reproductive tract with pelvic inflammation

作　　者：蔡昌金 梁连辉[2] 吴昌辉[2] 

机构地区：[1]中山市大茅医院,广东中山528402 [2]中山市疾病预防控制中心皮肤病防治所,广东中山528403

出　　处：《中国热带医学》2006年第4期709-710,共2页China Tropical Medicine

摘　　要：目的研究沙眼衣原体（Ct）和生殖道支原体（Mg）感染与盆腔炎症性疾病（PID）的关系。方法收集162例PID患者和110例健康妇女的宫颈脱落细胞，用PCR法进行Ct和Mg检测。结果PID患者中Ct、Mg和Ct＋Mg检出率分别为29．6％、15．4％、11．1％，而对照组分别为6．4％、5．5％、2．7％，两组的差异有统计学意义（P〈0．0001-0．05）；在PID患者中，20—30岁年龄组者的CT和Mg拴出率明显高于〉30年龄组（38．2％vs22．1％。21．1％vs10．5％；P〈0．05），但Ct＋Mg检出率在二组间的差异无统计学意义（15.8％vs 9．1％，P〉0．05）。结论PID发病可能与Ct和（或）Mg感染有关，Ct和Mg诊治应引起高度重视。Objective To study the relationship between Chlamydia trachomatis （Ct） and Mycoplasma genitalium （Mg） infection and pelvic inflammatory disease （PID）. Methods Ct and Mg in cervical cast- offcells from 162 women with PID and 110 healthy controls were determined by polymerase chain reaction （ PCR）. Results The detection rates of Ct, Mg and Ct ＋ Mg were 29.6%, 15.4% and 11.1% in PID group, and 6.4%, 5.5% and 2.7% in control group, respectively, and there were statistical differences between both groups （ P 〈 0.0001- 0.05）. Though the detection rates of Ct and Mg in PID subjects aged 20 to 30 werehigher than those in PID women aged more than 30 （38.2 % vs 22.1% and 21.1% vs 10.5 % ; P 〈 0.05）, there was no significant difference in the detection rate of Ct ＋ Mg between them （ 15.8 % vs 9.1%, P 〉 0.05 ）. Conclusion It is suggested that Ct and/ or Mg be involved in the pathogenesis of PID. The diagnosis and treatment of Ct and Mg infection should be paid great attention.

关 键 词：沙眼衣原体 生殖道支原体 盆腔炎症性疾病 聚合酶链反应 

分 类 号：R374[医药卫生—病原生物学]