不规则阴道出血患者沙眼衣原体和解脲脲原体感染136例临床分析

The Clinical Analysis of 136 Cases Infected by Chlamydia Trachomatis and M. urealyticum in Irregular Colporrhagia Patients

目的:了解不规则阴道出血患者沙眼衣原体和解脲脲原体感染的情况。方法:采用衣原体检测试剂盒(胶体金法)及解脲脲原体抗原免疫荧光检测对我院妇科门诊136例不规则阴道出血患者行沙眼衣原体和解脲脲原体检测。结果:此类病人沙眼衣原体的阳性率为24.26%,解脲脲原体阳性率为41.18%,总阳性率为62.5%。结论:不规则阴道出血患者,通过常规对症或行激素治疗无效时,应做沙眼衣原体和解脲脲原体检测,尤其是有非婚性行为史、年龄<30岁,患中度以上宫颈炎、无采用避孕措施者更应检测。

Objective： To study the situation of cases infected by chlamydia trachomatis and M. urealyti- cum in irregular colporrhagia patients. Method： To detect chlamydia trachomatis and M. urealyticum of 136patients with irregular colporrhagia by Diagnostic kit for chlamydia （ Colloidal Gold ） and M. urealyticum an- tigen immunofluorescence test in our outpatient department. Result： The positive rate of chlamydia trachoma- tis was 24.26% , M. urealyticum 41.18% and total positive rate 62.5%. Conclusion： The chlamydia tra- chomafis and M. urealyticum must be detected to patients with irregular colporrhagia , especially thoses illegit- icoitus, under 30 ages, cervicitis in moderate or above and no contraceptive device, when conventional or hor- monal therapy was inefficacy.