人工流产术后盆腔感染与孕期细菌性阴道病  

Post-Abortional Pelvic Inflammatory Disease and Bacterial Vaginosis

作　　者：黄薇[1] 黄秀玲[1] 彭英[1] 吴艳乔[1] 韩字研[1] 

机构地区：[1]四川大学华西第二医院妇产科,四川成都610041

出　　处：《华西医学》2003年第3期319-320,共2页West China Medical Journal

基　　金：四川省计生委资助

摘　　要：目的 :探讨人工流产术后盆腔感染与常见的下生殖感染———细菌性阴道病的关系。方法 :对 1998年至 1999年在我院门诊接受人工流产的 4 2 5名妇女进行细菌性阴道病的检查和诊断 ,并对感染者进行适当的治疗 ,观察这些妇女在人流术后的盆腔感染情况。结果 :早孕妇女的细菌性阴道病患病率为 5 6 % ,临床表现以白带增多和异味为主 ,近一半患者的阴道分泌物培养出厌氧菌。经过治疗的妇女在接受人流手术后 ,无人发生术后盆腔感染。而对照组术后盆腔感染的发生率为 1%。结论 :早孕妇女伴有细菌性阴道病并不少见 。Objective:To study the relationship between post-abortional pelvic inflammatory disease and bacterial vaginosis(BV)in women in first-trimester pregnacy.Methods:Four-hundred and twenty-five women with first-trimester pregnancy were included in the study during 1998-1999.They were diagnosed as BV according to Amsel's criteria.Patients were treated promptly.Incidence of PID was investigated in follow-up after artificial abortion.Results:The incidence of BV in these women was 5 6%.The main manifestation was increase of vaginal discharge with fishy odor.Half of the patients had positive anaerobic cultures.None of them occurred PID after artificial abortion.The incidence of PID was 1% in the control. Conclusion:BV was not rare in women in first-trimester pregnancy.Effective and prompt of treatment before operation were very important in prevention and decrease of post-operation infections.

关 键 词：人工流产 术后 盆腔感染 孕期 细菌性阴道病 

分 类 号：R169.42[医药卫生—公共卫生与预防医学]