女性不孕症患者生殖道解脲支原体、沙眼衣原体、人型支原体及淋病奈瑟菌感染分析

Analysis of Uu,Ct,Mh and NG infections in genital tract of female infertility patients

目的探讨女性不孕症患者生殖道解脲支原体(Uu)、沙眼衣原体(Ct)、人型支原体(Mh)及淋病奈瑟菌(NG)感染情况。方法选取2018年1月-2019年2月在本院治疗的不孕不育妇女120例作为观察组,同时选取有正常妊娠史的健康妇女120例作为对照组,检测生殖道Uu、Ct、Mh及NG感染情况,同时检测观察组抗精子抗体(As Ab)、抗子宫内膜抗体(AEMAb)阳性率。结果观察组Uu、Mh、Ct及混合感染阳性率分别为18.33%、17.50%、15.00%和14.17%,明显高于对照组(P <0.05);继发性不孕Uu、Ct、混合感染阳性率分别为31.82%、25.00%、22.73%,明显高于原发性不孕(P <0.05);观察组Uu感染、Mh感染、Ct感染、混合感染者As Ab阳性率分别为59.09%、66.67%、55.56%和58.82%,AEMAb阳性率分别为50.00%、57.14%、44.44%和41.18%,明显高于无生殖道感染者(P <0.05)。结论女性不孕症患者生殖道Uu、Ct、Mh感染阳性率明显升高,且Uu、Ct、Mh感染阳性者As Ab、AEMAb阳性率升高。

Objective To investigate the infections of Ureaplasmaurealyticum(Uu),Chlamydia trachomatis(Ct),Mycoplasma hominis(Mh)and Neisseria gonorrhoeae(NG)in female infertility patients.Methods A total of 120 infertile women(observation group)in our hospital from January 2018 to February 2019 were selected,120 healthy women with normal pregnancy history were selected as control group,the infections of Uu,Ct,Mh and NG in the genital tract were detected,and the positive rates of anti-sperm antibody(AsAb)and anti-endometrial antibody(AEMAb)in the observation group were also detected.Results The positive rates of Uu,Mh,Ct and mixed infection in the observation group were 18.33%,17.50%,15.00%and 14.17%,which were significantly higher than those in the control group(P<0.05);the positive rates of Uu,Ct and mixed infection in secondary infertility were 31.82%,25.00%and 22.73%,which were significantly higher than those in primary infertility(P<0.05);the positive rates of AsAb in Uu infection,Mh infection,CT infection and mixed infection in observation group were 59.09%,66.67%,55.56%and 58.82%,the positive rates of AEMAb were 50.00%,57.14%,44.44%and 41.18%,which were significantly higher than those in non-genital infection group(P<0.05).Conclusion The positive rates of Uu,Ct and Mh infection in female infertility patients increase significantly,and the positive rates of AsAb and AEMAb in Uu,Ct and Mh infection patients increase.