急性盆腔炎80例临床观察

Clinical observation of 80 cases of acute pelvic inflammatory disease.

目的：探讨女性泌尿生殖道淋菌、衣原体、解脲脲原体以及各种细菌感染与盆腔炎的关系。方法：对１９９３年３月至１９９７年７月收治的急性盆腔炎８０例病人进行宫颈分泌物及腹腔液需氧菌、厌氧菌培养及淋菌、衣原体、解脲脲原体的化验检查。结果：８０例中送宫颈分泌物标本５２例，需氧菌阳性率７１％，衣原体３４份标本阳性率４０％。衣原体、解脲脲原体感染有上升趋势。结论：引起急性盆腔炎感染不仅与细菌感染有关，而且还与衣原体、解脲脲原体感染有密切关系，治疗上应给予重视。

Objective:To investigate the relationship between acute pelvic inflammatory disease(APID)and the infection of diplococcus gonorrhea,chlamydia trachomatis(CT),ureaplama urealyticum(UU),and other bacteria.Methods:A retrospective study was carried out in 80 cases of APID from May,1993 to July,1997.All cases's cervical secretion and peritoneal effusion were detected for aerobes,anaerobers,diplococcus gonorrhea,CT and UU.Results:52 specimens were obtained from 80 cases APID patients.The positive frequency of aerobes was 71%,while the positive frequency of CT was 40%.And an ascendant tendency of CT and UU infection was observed.Conclusions:APID is not only associated with bacteria infection,but also with the infection of CT and UU,and the attention must be paid on CT and UU infection.