女性生殖道解脲支原体感染与外阴阴道假丝酵母菌病关系的研究  

The relevance between Ureaplasma urealyticum infection and Vulvovaginal candidiasis of female genital tract

作　　者：王丽莎[1] 田泉[1] 薛艳[1] 郑伟[1] 孙戎[1] 李娇[1] 安瑞芳[1] 

机构地区：[1]西安交通大学医学院第一附属医院妇产科,陕西西安710061

出　　处：《中国微生态学杂志》2015年第9期1090-1093,共4页Chinese Journal of Microecology

摘　　要：目的探讨女性生殖道解脲支原体(Ureaplasma urealyticum,Uu)感染与外阴阴道假丝酵母菌病(Vulvovaginal candidiasis,VVC)的相关性,为VVC及Uu感染的防治提供临床依据。方法回顾性分析2011年11月至2014年9月于西安交通大学医学院第一附属医院妇科门诊因不同症状就诊患者的阴道分泌物检测结果。结果 3 117例患者中,明确感染者共2 077例,阳性检出率为66.6%;所有被检者中VVC患者占17.1%(533/3117),Uu患者占40.7%(1270/3117);Uu阳性组VVC检出率(19.9%)高于Uu阴性组(15.2%)。结论 Uu感染者易合并外阴阴道假丝酵母菌病。因此,在诊断VVC时应尽量同时检测Uu,便于进一步指导治疗,减少复发性外阴阴道假丝酵母菌病(Recurrent vulvovaginal candidiasis,RVVC)的发生。Objective To explore the relevance between Ureaplasma urealyticum（ Uu） infection and female genital tract Vulvovaginal candidiasis,and provide clinical evidence for the diagnosis,prevention and treatment of the two diseases. Methods A retrospective analysis was performed on the test results of vaginal secretion of 3,117 gynecological outpatients with different symptoms from November 2011 to September 2014. Results Of the total 3,117 patients,2,077 were diagnosed with infection; the positive rate was 66. 6%. 17. 1%（ 533 /3117） of the patients had VVC,while Uu patients accounted for 40. 7%（ 1270 /3117）. The detection rate of VVC in Uu positive group（ 19. 9%） was higher than that in Uu negative group（ 15. 2%）. Conclusion Uu infection often complicates with vulvovaginal candidiasis. Therefore,to further guide treatment and reduce the recurrence of VVC,Uu detection should be conducted when diagnosing VVC.

关 键 词：解脲支原体 外阴阴道假丝酵母菌病 合并感染 

分 类 号：R711.7[医药卫生—妇产科学]