女性不孕中抗精子抗体、抗内膜抗体与解脲脲原体、砂眼衣原体感染  

The Antisperm and Anti-endommembrane Antibodies and Relations to Reproductive Duct Infection of Ureaplasma Urealyticum or C-trachomatis in Inferility Females

作　　者：叶元[1] 阳华[1] 谈小秀[1] 

机构地区：[1]桂林医学院附属医院妇产科,广西桂林市541001

出　　处：《华夏医学》2001年第1期17-18,共2页Acta Medicinae Sinica

摘　　要：目的 :探讨女性不孕症中抗精子抗体 (As Ab)、抗内膜抗体 (Em Ab)与生殖道解脲脲原体 (U u)、衣原体 (Ct)感染的关系。方法 :对 136例女性不孕患者常规检测血清 As Ab、Em Ab及宫颈拭子查 Uu、Ct。结果 :Em Ab或 As Ab单项阳性 5 7人 ,合并 2项阳性 11人 ,共 6 8人 ,综合检出率 5 0 % (6 8/ 136 ) ;Uu或 Ct单项阳性 6 2人 ,合并 2项阳性 18人 ,合计 80人 ,总检出率 5 8.82 % (80 / 136 )。在 Em Ab或 As Ab阳性的 6 8人中合并 Uu/ Ct阳性者 49人 ,占 72 .0 6 % (4 9/6 8) ,而 Em Ab/ As Ab阴性的 6 8人中 Uu/ Ct阳性者 31人 ,发生率 45 .5 8% (31/ 6 8) ,前者明显高于后者。结论 :As Ab、Em Ab产生与生殖道感染 U u、Ct有密切关系。Objective:To investigate the feasible relationships between anti sperm antikody(AsAb),anti endommembrane antibody (EmAb) and genital duct infection of ureaplasma urealyticum(Uu) and C trachomatis(Ct).Methods:A routine examination was performed for detections of serum AsAb and EmAb,and analysis of Uu and Ct in the wipers from cervix in 136 inferility females.Results:Of the 136 barreness females examined,57 were found to be AsAb positive,2 both AsAb and EmAb positive,with a total positive rate of 50%(68/136);62 females were found to be Uu or Ct alone positive,18 subjects to be both Uu and Ct positive,with a total of 58.82% positive rate (80/136).Of the 68 subjects with EmAb or/and AsAb positive,49 were found to have Uu/ct infection,accounting for 72.06%(49/68);while of the other 68 with EmAb/AsAb negative,only 31 were found to have Uu/Ct infection,with 45.58%(31/68) of incidence,obviously lower than the former.Conclusion:In inferility female;genital duct Uu/Ct infections is closely associated with production of AsAb or/and EmAb.

关 键 词：不孕症 抗精子抗体 抗内膜抗体 解脲脲原体 砂眼衣原体 

分 类 号：R711.602[医药卫生—妇产科学]