不育症患者沙眼衣原体和解脲脲原体检测

DETECTION OF UROGENTITAL CHLAMYDIA TRACHOMATIS AND UREAPLASMA UREALYTICUM FORM SPECIMENS OF INFERTILE MALES AND FEMALES

目的 :通过对不育症患者泌尿生殖道标本中支、衣原体检查 ,了解不育症患者支、衣原体感染状况。方法 :收集 2 0 0 0年 10月～ 2 0 0 1年 10月 197例不育症患者和 2 2 9例普通门诊患者泌尿生殖道标本 ,用双相一步法培养和细胞培养等方法进行解脲脲原体 (Ureaplasmaurealyticum ,Uu)和沙眼衣原体 (Chlamydiatrachomatis,CT)检测。结果 :不育症患者的支、衣原体阳性率分别为 4 8.2 %和 4 6 .2 % ,其中男性患者为 4 7.5 %和 4 4 .6 % ,女性患者为 4 9.0 %和 4 7.9% ,支、衣原体混合感染率男性为 2 5 .7% ,女性为 2 4 .0 % ;普通门诊患者支、衣原体阳性率分别为 11.4 %和 10 .0 % ,其中男性为 12 .4 %和 10 .6 % ,女性为 10 .3%和 9.5 % ,混合感染率男性为1.8% ,女性为 1.7%。结论 :不育症患者男女间和普通门诊患者男女间阳性率差异均无显著性 (P >0 .0 5 ) ;不育症患者支、衣原体感染率较高 ,与普通门诊患者相比差异有统计学意义 (P <0 .0 1) ,提示支、衣原体感染多经性接触传播 ,为性传播疾病 。

Objective:To determine the relationship between infertility and the infection of chlamydia trachomatis and ureaplasma urealyticum.Methods:Between Oct.2000 and Oct.2001,we examined 197 samples from patients attending an infertility clinic and specimens of 229 patients attending common out clinic with cell culture method and one-step method culture of two phases.Results:The positive rates of chlamydia trachomatis and ureaplasma urealyticum for the infertilic patients were 44.6%,47.5% among males and 47.9%,49.0% among females,respectively.The postive rates of chlamydia trachomatis and ureaplasma urealyticum for common out patients were 10.6%,12.4% among males and 9.5%,10.3% among females,respectively.Conclusion:The result suggests that the infection rates of chlamydia trachomatis and ureaplasma urealyticum between the sterilitys and the common clinic out patients are significantly different ( P <0.01).