性病门诊女性尿道和宫颈解脲脲原体感染的同步检测分析

Simultaneous Detection of Ureaplasma urealyticum in Urethra and in Cervix of STD Clinic Women

目的比较分析性病门诊女性尿道和宫颈解脲脲原体(UU)感染的发病情况,探讨同步检测尿道、宫颈UU的意义.方法患者分为三组,性病组(STD组)为2002年4月～2004年6月间257例性病门诊女性患者;尿道对照组为62例同期本院普通泌尿科门诊女性患者;宫颈对照组:155例同期本院普通妇科门诊女性患者.STD组患者均同时检测尿道、宫颈UU.结果 STD组共检出UU阳性病例128例,其中75例为尿道和宫颈合并感染,单纯尿道和单纯宫颈感染UU的患者分别为26和27例.STD组总的尿道及宫颈UU阳性率分别为39.3％和39.7％,尿道对照组和宫颈对照组UU阳性率分别为25.8％和25.2％,两者比较差有显著性(P＜0.05).结论性病门诊女性尿道和宫颈UU感染的发生率均明显高于普通泌尿及妇科门诊女性患者,其中尿道、宫颈合并感染UU的比例相当高,还有一部分单纯尿道UU感染.提示在对STD高危女性人群检查或复查UU时,应同时取宫颈和尿道的标本进行检查,尤其不能忽视其UU尿道感染的发生.

Objective To investigate the prevalence of ureaplasma urealyticum(UU) in urethra and in cervix of sexually transmitted disease (STD) women and explore the significance of simultaneous detection of UU in urethra and in cervix.Methods 257 women from STD out-patient clinic (STD group),62 from urologic clinic(urologic group) and 155 from gynecologic clinic(gynecologic group) were performed for the presence of UU in the samples of urethra and cervix during Apr,2002 to June,2004 by culture. The statistics and classifications of them were evaluated.Results The patients of STD group who had UU in both urethra and cervix were 75 ,and only in urethra were 26, only in cervix were 27.The total positive rates of UU of STD group in urethra and in cervix were 39.3% and 39.7% respectively , which were significantly higher than that in urologic group and gynecologic group( P<0.05).Conclusion The positive rates of UU in urethra or in cervix in STD women are higher than that in gynecologic or in urologic check-up population.Most positive cases in STD women have UU in both urethra and cervix,and some of the patients only have presence of UU in urethra. It suggests that the samples be taken from the urethra and cervix concurrently for examination of UU in STD women. The urethritis caused by UU should be emphasized.