绝经后子宫出血与细菌L型感染的关系

RELATIONSHIP OF POSTMENOPAUSAL UTERINE BLEEDING WITH INFECTION OF BACTERIAL L-FORMS

应用组织病理学、细菌学和免疫组织化学染色等方法，对８３例绝经后子宫出血内膜组织进行回顾性研究；结果显示，４３例（５１．８％）为非器质性绝经后子宫出血，其中４２例内膜组织中查见Ｌ型菌．本组细菌Ｌ型感染阳性率为９７．６％，免疫组织化学染色在９０．５％的内膜组织中检出细菌Ｌ型抗原，提示细菌Ｌ型感染与绝经后子宫出血关系密切，是导致非器质性绝经后子宫出血的重要原因之一．

The histolgical,bacteriologic and immunohistocliemical study were retrospectivelycarried out in 83 cases of postmenopausal uterine bleeding, It was observed that 43 cases of post-menopausal uterine bleeding were no-organic cause. The infection of bacterial L-forms has beenfound in 42 cases. The positivity rate of the infection of bacterial L-forms was 97.6%in 83 cases.The antigen of bacterial L-forms in 90.5%cases has been examined by immunohistochemicaltechnique. It suggests that the infection of bacterial L-forms in endometriums is associated withpostmenopausal uterine bleeding and is one of the important causes leading to no-organic post-menopausal uterine bleeding.