生殖支原体感染与黏液脓性宫颈炎的相关性研究

Study on the correlation between Mycoplasma genital mycoplasma infection and mucous pyogenic cervicitis

目的探讨生殖支原体感染与黏液脓性宫颈炎的相关性,并分析影响黏液脓性宫颈炎患者支原体感染检出率的因素。方法选取2016年7月至2017年5月亳州市人民医院诊治的400例宫颈筛查患者的临床资料作回顾性分析。观察黏液脓性宫颈炎发病率和黏液脓性宫颈炎患者支原体感染检出阳性率,比较不同特征黏液脓性宫颈炎患者支原体感染检出阳性率的差异,分析影响黏液脓性宫颈炎患者支原体感染检出阳性率的因素。结果 400例接受宫颈筛查患者中黏液脓性宫颈炎者65例,发生率为16.25%;黏液脓性宫颈炎组患者支原体检出阳性率为81.54%,明显高于非黏液脓性宫颈炎组;有异位妊娠史、有附件压痛、宫颈涂片白细胞计数≥10/视野、有宫颈糜烂、有黏液脓性分泌物、流产次数≥2次的黏液脓性宫颈炎患者支原体感染检出阳性率较高;将单因素分析有意义的因素作为自变量,将黏液脓性宫颈炎患者支原体感染检出阳性率作为因变量,进行Logistic回归分析,结果显示,有无附件压痛、宫颈糜烂和黏液脓性分泌物是影响液脓性宫颈炎患者支原体感染检出阳性率的因素。结论黏液脓性宫颈炎患者的支原体感染阳性检出率较高,且与有无附件压痛、宫颈糜烂和黏液脓性分泌物相关。

Objective To investigate the correlation between Mycoplasma pneumoniae infection and mucous pyogenic cervicitis, and to analyze the factors that affect the detection rate of mycoplasma infection in children with mucinous pyogenic cervicitis.Methods The clinical data of cervical screening patients in our hospital from July 2016 to May 2017 were retrospectively analyzed. The incidence of mucous pyogenic cervicitis and the positive rate of mycoplasma infection in patients with mucous pyogenic cervicitis were observed.The positive rate of mycoplasma infection in patients with different characteristics of mucous pyogenic cervicitis was compared, and the factors that affect the positive rate of mycoplasma infection in patients with mucous pyogenic cervicitis were analyzed. Results Among the 400 patients who received cervical screening, 65 had mucouspyogenic cervicitis, the incidence of 16.25%;the positive rate of Mycoplasma in patients with mucous purulent cervicitis was 81.54%, which was significantly higher than that in non-mucous cervicitis group. There was a high positive rate of Mycoplasma mucopurulent cervicitis among patients with ectopic pregnancy history, accessory tenderness, cervical smear leukocyte counts more than 10/vision, cervical erosion, mucopurulent secretions, abortion more than 2 times.According to Logistic regression analysis, attachmenttenderness, cervical erosion and mucopurulent secretion were the key factors influencing the positive rate of mucous pyogenic cervicitis. Conclusions The positive rate of mycoplasma infection in patients with mucous pyogenic cervicitis is high, which is related to the absence of attachmenttenderness, cervical erosion and mucous purulent secretion.