输卵管妊娠与生殖道解脲支原体和沙眼衣原体感染的关系分析

Comparative Study of Ureaplasma Urealyticum and Chlamydia Trachomatis Infection on Tubal Pregnancy

目的 探讨生殖道解脲支原体和沙眼衣原体感染与输卵管妊娠的关系。方法 采用回顾性分析,选择3年来我院输卵管妊娠患者87例为研究对象,选择同期正常早期妊娠妇女106例为对照组。采用宫颈分泌物分离培养及胶体金方法 分别检测解脲支原体和沙眼衣原体感染情况。结果 病例组87例输卵管妊娠患者中有34例(39.08%)UU感染,其中11例(12.64%)同时感染CT,21例(24.14%)为单纯CT感染。对照组106例患者中有20例(18.87%)UU感染,其中例5例(4.71%)同时感染CT,12例(11.32%)为单纯CT感染。病例组与对照组比较,差异有统计学意义P<0.05。结论 生殖道解脲支原体和沙眼衣原体感染增加输卵管炎及盆腔炎的发生,与输卵管妊娠关系密切。

Objective To investigate the effects of ureaplasma urealyticum（UU） and chlamydia trachomatis（CT） infection on tubal pregnancy. Methods A retrospective analysis of 3 years in our hospital, eighty seven women with tubal pregnancy（study group） and 106 with women normal early pregnant（control group） were recruited in this study. Were used to detect the infection of ureaplasma urealyticum and chlamydia trachomatis by cervicalsecretions of isolation and colloidal gold method respectively. Results UU were detected in cervical secretions from 34（39.08%） cases in the study group, including 11（12.64%） cases with CT infection, 21（24.14%） cases were infected with CT. UU were detected in cervical secretions from 20（18.87%） cases in the control group, including 5（4.71%） cases with CT infection, 12（11.32%） cases were infected with CT simplicity. In study group and control group, there were statistically significant differences in P〈0.05. Conclusion Ureaplasma urealyticum（UU） and chlamydia trachomatis（CT） infection may be increased tubal and pelvic inflammation, closely related to tubal pregnancy.