女性生殖道沙眼衣原体感染的诊断与治疗──附门诊病例205例

Diagnosis and treatment of chlamydial trachomatis genital infection in women

1990年11月至1991年8月间共对门诊的900名生殖道炎症患者进行了宫颈细胞涂片包涵体（IB）检测，其中100例同时作了宫颈衣原体分离培养。宫颈涂片阳性的衣原体感染者205例，与宫颈衣原体培养法比较，本组涂片法的敏感性为41．37％，特异性为85．71％。研究还显示放置宫内节育器可能为衣原体上行感染的易感因素之一。205例随机分三组治疗。悉复欢组和四环素组疗效均优于艾沙霉素组（0．olndP＜0．05），但四环囊组与悲复欢组比较疗效无显著差异（P＞0．05）．悉复政还具有显效时间快、副作用小的优点。

Cytologic tests of cervical smears for detecting chlamydial intracytoplasmic inclu-sions were done in 900 out-patients with genital tract infection from Nov. 1990 to Aug, 1991, in 100 of them cultures for chlamydia were also done. 205 patients were found to be cytologically positive. compared with the culture results, the sensitivlty and specificity of cytologic tests were 41. 37% and 85.71 % respectively. Intrauterine de-vice were found to be one of the risk factors in chlamydial infection. Cifran group was proved to be as effective against chlamydial.trachomatis as the traditional Tetracycline group. Both of them were more effective than Josamycin. Further more, clinical im-provement in patients treated with cifran were much more rapid than those treated with Tetracycline