放置宫内节育器后出血与衣原体、支原体感染的关系

The Relationship Between Bleeding by Intrauterine Device and lnfected Genital Tract by Chlamydia and Mycoplasma

目的:探讨放置宫内节育器(IUD)后出血与衣原体、支原体感染的关系。方法:采用套式聚合酶链反应(PCR)方法,对108例放置IUD后出血病例(IUD出血组)、放置IUD后无不良反应者102例(IUD正常组)、未放置IUD子宫异常出血32例(无IUD出血组)及未放置IUD正常妇女30例(无IUD正常组)之宫颈分泌物和子宫内膜中的沙眼衣原体(CT)、生殖支原体(Mg)进行检测。结果:IUD出血组宫颈管分泌物CT及Mg阳性检出率分别为36.1%、25.0%,均明显高于IUD正常组和无IUD正常组(P<0.05),IUD出血组宫腔内膜CT及Mg阳性检出率分别为28.7%、20%,均明显高于其他各组(P<0.05)。结论:放置IUD后子宫异常出血与生殖道CT。

Objectives:To evaluate relationshi bleeding by intrauterine device( IU D) and infected by chlamydia and mycoplasma.Methods:PCR technipue were applicated,chlamydia trachomatis( CT) and mycoplasma genitalium( Mg) in cervical mucosa and cndometium were measured subject inverstigated were divided into four groups:1Bleeding with IUD,included10 8case;2 Normal with IUD,included10 2 cases;3 Bleeding with non- IU D,included3 2 cases;4 Normal with non- IUD,included3 0 cases.Results;CT and Mg in group of bleeding with IUD were found3 6.1% and2 5 .0 % in cervical mucosa,resparately,it were the higher than that of group of normal with IUD and group of norm al with non- IUD.CT and Mg in group of bleeding with IUD were foud 2 8.7% and 2 0 .0 % in endometium,resparately,it were ghe higher than that of other group.Conclusions:It is related between bleeding with IUD and infected genital tract by CT and Mg.