宫颈感染与IVF-ET及自然妊娠先兆流产的相关性研究  

Correlation Study of Endocervical Infection with Spontaneous or Post IVF-ET Threatened Abortion

作　　者：彭婀娜[1] 姚若进[1] 裴琛琳[1] 曹兰琴[1] 张琼[1] 

机构地区：[1]中南大学湘雅医院,湖南长沙410008

出　　处：《实用妇产科杂志》2010年第5期365-367,共3页Journal of Practical Obstetrics and Gynecology

摘　　要：目的:研究宫颈感染与体外受精-胚胎移植(IVF-ET)及自然妊娠先兆流产之间的关系,从而探讨其治疗方案;方法:对IVF-ET和自然妊娠两组先兆流产患者的宫颈分泌物进行细菌、支原体培养。结果:IVF-ET组宫颈分泌物培养阳性16例,阳性率为61.54%;自然妊娠流产组宫颈分泌物培养阳性8例,阳性率为26.67%,两组比较差异均有统计学意义(P<0.05),以厌氧菌及支原体多见,光滑假丝酵母菌也可见。结论:IVF-ET组比自然妊娠组宫颈管内感染多见,但两组先兆流产的患者都可见病原菌培养阳性,提示在先兆流产治疗中应常规行宫颈分泌物培养,提高保胎成功率。Objective：The relationship of endocervical infection and spontaneous or post in vitro fertilization and embryo transfer（IVF-ET）threatened abortion was investigated to explore the preferred treatment options.Methods：Cervical secretions were taken from threatened abortion patients post IVF-ET or natural pregnancy to do culture for bacteria,Mycoplasma.Results：There were 16 cases of positive culture in IVF-ET group,the positive rate was 61.54%.8 cases were positive culture in natural pregnancy group,the positive rate was 26.67%,the difference was significant between the two groups（P〈0.05）.The most common microbes were anaerobic bacteria,mycoplasma and smooth Candida.Conclusions：The IVF-ET group has more endocervical infection than the natural pregnancy group.As both groups have some positive pathogens,cervical secretions culture should be routinely done in the treatment of threatened abortion to improve the outcome of pregnancy.

关 键 词：先兆流产 体外受精-胚胎移植 宫颈分泌物培养 细菌 支原体 

分 类 号：R714.21[医药卫生—妇产科学]