晚期先兆流产保胎患者宫颈分泌物检测临床意义

CLINICAL SIGNIFICANCE OF DETECTION OF CERVICAL SECRETIONS IN PATIENTS WITH LATE THREATENED ABORTION

目的探讨晚期先兆流产保胎患者检测宫颈分泌物的临床意义,为预测晚期先兆流产保胎结局提供依据。方法选择2012年6月—2015年12月该科收治的需住院保胎治疗的晚期先兆流产患者136例,采集患者宫颈分泌物,行支原体和沙眼衣原体检测及普通细菌培养+药敏,根据保胎结局分为保胎成功组112例和难免流产组24例,对比二组患者宫颈分泌物感染情况。结果保胎成功组支原体、沙眼衣原体及细菌阳性率分别为13.39%、1.79%、24.11%,难免流产组分别为37.50%、4.17%、41.67%,二组支原体和细菌感染率比较差异均有统计学意义(P<0.05),沙眼衣原体感染率比较差异无统计学意义(P>0.05)。结论对于晚期先兆流产保胎患者,应常规检测宫颈分泌物,并根据药敏结果及早干预,以期待改善保胎结局。

Objective To investigate the clinical significance of detection of cervical secretions in patients with late threatened abortion,and to provide a basis for predicting the outcome of late threatened abortion.Methods A total of 136 patients with late threatened abortion who need to protect the fetus in author＇s department from Jun 2012 to Dec 2015 were selected.Mycoplasma,chlamydia trachomatis（CT）and bacteria infection from the cervical secretion were detected in late threatened abortion patiens.The patients were divided into successfully protected the fetus group and the inevitable abortion group according to the result of protecting the fetus.The cervical infection of two groups were compared.Results The positive rates of mycoplasma,chlamydia trachomatis and bacteria was 13.39%,1.79%,24.11% in successfully protected the fetus group,and was 37.50%,4.17%,41.67%in the inevitable abortion group respectively.There was statistical difference in the positive rates of mycoplasma and bacteria between the two groups（P〈0.05）,but the difference of the positive rate of CT was no statistically significance（P〉0.05）.ConclusionCervical infection should be detected routinely and prevented early according to the drug sensitivity results for patients with late threatened abortion.