妇科门诊病例宫颈沙眼衣原体感染的调查

Investigation of Cervical Chlanyia trachomatis Infection in Gynecologicg OPD Patients

通过宫颈粘液涂片，用直接免疫荧光单克隆抗体技术，对妇科门诊１９９３年３～１２月的６６２例１６～６０岁妇女，检查宫颈沙眼衣原体感染情况，阳性率为２６．３％。２６９例早、中、晚期妊娠者中６４例阳性（２３．７４％）。感染与否与年龄无相关性，但阳性组不育率高于阴性组（２５．４３％，１２．８８％，Ｐ＜０．０１）。各种避孕措施并未增加其易感性。宫颈糜烂程度与感染成正比。本病在成人主要通过性接触传播，新生儿则经生殖道感染。

A group of 662 women in our gynecologic OPD were screened for Chlamhydia trachomatis with direct immunofluorecence monoclonal antibody(DFA)staining technique. Their age distribution ranged from 16 to 60 years old. The overall positivity rate was 26.3%. Of the 269 pregnant wom-en,64 cases were found to have Chlamydia t rachomatis infection,an infection rate of 23.74% There was no statistically significant difference of infection rates among age groups. In the posi-tive group,however,the rate of infertility was 25.43%,much higher than that in the negative group(12.88%,P<0.01).And there was no statistical significance of infection rates between pa-tients taking contraception and those did not.A positive correlation existed between the degree of cervicitis and the Chlamydia trachomatis infection.