输卵管性不孕与生殖道沙眼衣原体感染

Relationship between tubal infertility and reproductive canal chlamydia trachomatis infection

目的探讨输卵管性不孕与生殖道沙眼衣原体感染的关系。方法将我院妇科门诊就诊的已婚生育年龄的妇女分为不孕组(120例)和对照组(142例),分别对两组进行妇科检查,并取宫颈分泌物检验沙眼衣原体;同时对两组中沙眼衣原体感染者进行治疗。结果沙眼衣原体感染阳性者,不孕组46例(38.33%),对照组28例(19.72%),两组差异有统计学意义(P<0.05)。生殖道沙眼衣原体治疗后转阴率为72.97%。结论沙眼衣原体感染是造成输卵管性不孕的重要原因;通过积极治疗,多数沙眼衣原体可以转阴。

Objective To elucidate the relationship between tubal infertility and reproductive canal chlamydia trachomatis（CT） infection. Methods 262 out-patients who conformed to the recruited standard were divided into two groups： the infertility group（IG,n=120） and the control group （CG, n=142）. The two groups were given gynecologic examinations as well as CT detection from the cervical mucus and those positive for CT infection were given therapy. Results There were 46 patients with CT in 1G（38.33%）; while 28 in CG （19.72%）. There was significant difference between the two groups （P〈0.05）. 72.97% patients positive for CT became negative after treatment. Conclusion CT infection is an important reason for tubal infertility. Most CT patients can be cured through active therapy.