240例不孕症患者解脲支原体和衣原体检测结果分析

Analysis on the detection results of Ureaplasma urealyticum and Chlamydia trachomatis among 240 patients with infertility

目的:了解不孕症患者解脲支原体(UU)和衣原体(CT)的感染状况及其与不孕症的关系。方法:对240例行输卵管造影的不孕患者(观察组)和152例正常生育的孕妇(对照组)进行宫颈分泌物的UU和CT检测。结果:UU感染率观察组为65.8%,对照组为44.1%,两组比较差异有统计学意义(P<0.001)。其中有输卵管炎症的不孕症患者中解脲支原体感染明显高于输卵管正常的不孕症患者,差异有统计学意义(P<0.001)。观察组中仅2例存在衣原体感染。结论:UU与不孕症密切相关,对不孕症患者行UU常规检测和及时治疗是必要的,CT检测可不作为常规检查项目。

Objective：To understand the relationship between infective conditions of Ureaplasma urealyticum（UU） and Chlamydia trachomatis（CT） and infertility. Methods：UU detection and CT detection of cervical secretions were conducted among 240 infertile patients diagnosed by hysterosalpingography（HSG）（observation group） and 152 normal pregnant women without infertility（control group）. Results：The infection rates of UU in observation group and control group were 65.8% and 44.1%,respectively,there was significant difference between the two groups（P0.001）.The infection rate of UU among the infertile patients with tubal inflammation was significantly higher than that among the infertile patients with normal fallopian tubes（P0.001）.Only two cases were found with CC infection in observation group. Conclusion：UU is correlated with infertility closely,it is necessary to conduct routine UU detection and timely treatment among infertile patients,CT detection is not necessary for general examination.