性传播疾病病原体在急性盆腔炎发病中的作用  

Pathogens of transmitted disease in the pathogenesis of acute pelvic inflammatory disease

作　　者：周白[1] 丛林[1] 沙玉成[1] 

机构地区：[1]安徽医科大学第一附属医院妇产科,合肥230022

出　　处：《中华妇产科杂志》2001年第9期539-541,共3页Chinese Journal of Obstetrics and Gynecology

摘　　要：目的　研究性传播疾病病原体在急性盆腔炎发病中的作用。方法　对 13 0例急性盆腔炎患者的宫颈分泌物采用分离培养法进行细菌培养及性传播疾病系列检查。结果　 13 0例急性盆腔炎患者中 ,有 5 5例培养出性传播疾病病原体 ,其中淋病奈瑟菌检出率为 6 9% ( 9/ 13 0 ) ,约半数病例混有解脲支原体、沙眼衣原体及白色念珠菌感染 ;沙眼衣原体检出率为 4 6% ( 6/ 13 0 ) ,均为混合感染 (淋病奈瑟菌、解脲支原体及厌氧菌 ) ;解脲支原体检出率为 3 7 7% ( 4 9/ 13 0 ) ,三分之一病例存在混合感染。结论　性传播疾病病原体可为急性盆腔炎的发病因素 ,但也可能仅在急性盆腔炎发病中起协同作用。Objective To study the pathogenesis of pathogens of sexually transmitted disease (STD) in acute pelvic inflammatory disease (PID) Methods Neisseria gonorrhoeae, chlamydia trchomatis, ureaplasma urealyticum were cutured respectively in 130 patients with acute PID Results The pathogens of STD had been found in 55 patients The detective rate of Neisseria gonorrhoeae was 6 9% (9/130), about half of them were mixed infection; the detective rate of chlamydia trachomatis was 4 6% (6/130), all of them were mixed infection; the positive percentage of ureaplasma urealyticum was 37 7% (49/130), one third of them were mixed infection Conclusion The pathogens of STD might cause acute PID or only play a synergetic role in it

关 键 词：子宫附件炎 性传播疾病 疾病发生 急性 盆腔炎 

分 类 号：R711.33[医药卫生—妇产科学] R759[医药卫生—临床医学]