支原体感染与阴道分泌物清洁度相关性探讨

Relationship between mycoplasma infection and sanitary degree of vaginal secretions.

目的探讨女性支原体感染与阴道分泌物清洁度的关系。方法回顾性分析459例同一时期进行宫颈分泌物支原体培养及阴道分泌物清洁度检查的妇科门诊患者的临床资料。结果459例标本中，阴道清洁度分泌物异常（Ⅲ～Ⅳ度）者238例，占51．9％。其中，支原体感染阳性率为44．2％，是女性非淋球菌性阴道炎的主要原因；解脲支原体阳性者阴道清洁度异常的比例明显高于解脲支原体阴性者（P〈0．05）；人型支原体阳性者阴道清洁度异常的比例明显高于人型支原体阴性者（P〈0．01）；解脲支原体和人型支原体混合感染者阴道清洁度异常的比例显著高于非混合感染者（P〈0．01）。结论解脲支原体和人型支原体感染与阴道清洁度有较好的相关性。支原体感染应是引起阴道分泌物清洁度异常的原因之一。

Objective To study the relationship between myeoplasma infection and the sanitary degree of vaginal secretions. Methods The clinical data of 459 patients in Gynecology Outpatient Department, who underwent simultaneously mycoplasma cultivation of cervical secretions and sanitary degree inspection of vaginal secretions, were retrospectively analyzed. Results In 459 cases of specimen, 238 eases （51.9%） showed abnormal sanitary degree of vaginal secretions （Ⅲ～Ⅳ degree）, The positive rate of mycoplasma infection was 44.2%, and mycoplasma infection was the main cause of female blame non-gonococcal urethritis. The proportion of abnormal vaginal sanitary degree was significantly higher in the patients positive of ureaplasmaurealyticum than those negative （P〈0.05） as well as the patients positive of mycoplasma bominis than those negative （P〈0.01）. The prportion was significantly higher in patients positive in both ureaplasmaurealyticum and myeoplasma hominis than those positive in ureaplasmaurealyticum or mycoplasma bominis （P〈0.01）.Conelusion Ureaplasmaurealyticum and myeoplasma bominis infection have good correlation with the sanitary degree of vaginal secretions. Mycoplasma infection is one of the reasons that lead to abnormal sanitary degree of vaginal secretions.