原发不孕和继发不育妇女宫颈细胞衣原体抗原的测定

The Detection of Chlamydia Trachomatis Antigen of Cevical Cell in Women with Primary and Secondary Infertility

本文报道了使用英国ＣＬＥＲＶＩＥＷ药盒对６９例原发不孕女，４９例继发不育妇女的宫颈细胞沙眼衣原体抗原的检测结果，结果表明：６９例原发不孕妇女与４９例继发不育妇女宫颈细胞沙眼原体感染率分别为１８．７５％，２８．５７％，继发不育组阳性率稍高，二者相比经Ｘ＾２检验，Ｐ〉０．０５，无显著差异。两组衣原体抗原的病例常伴有较长期的不孕史（５～８年），反复流产史，盆腔炎，宫外孕以及低体重儿史。

69 and 49 Cervical swab samples from primary and secondary females were collcted through CLERVIEW kit for Chlamydia Trachomatis antigen. The results showed that positive rates of Chlamydia Trachomatis antigen were respectively 18. 75% and 28. 57% in two groups. No significant difference was found. The long infertile history, prior pelvic infections, recurrent spontaneous abortion,ectopic pregnancy and low brith weight history were observed in those positive cases. Salpingitis, fallopian tube adhesions and obstruction were observed by hysterosalpingraphy in 82. 60% cases with positive Chlamydia Tracomatis antigen. It is suggested that the direct qualitative detection of Chlamydia Trachomatis antigen in endocervical swab specimens would be helpful in identifying those patients more likely to have tubal factor as a cause of their infertility.