沙眼衣原体与解脲支原体检测在宫颈糜烂诊断中的作用分析

Analysis of the role of detection of chlamydia trachomatis and ureaplasma in the diagnosis of cervical erosion

目的分析沙眼衣原体与解脲支原体在宫颈糜烂临床诊断中的作用。方法选择150例确诊为宫颈糜烂患者作为研究组,以150例宫颈炎症患者作为对照组。以衣原体抗原快速免疫检测法、培养法对两组宫颈分泌物进行检测,分析两组不同宫颈糜烂程度解脲支原体、沙眼衣原体的阳性检出率;观察研究组不同糜烂程度患者应用两种检测方法的阳性检出率;比较不同年龄段患者应用两种检测方法的阳性检出率。结果研究组沙眼衣原体、解脲支原体的阳性检出率(72.67%、87.33%)高于对照组(8.00%、12.67%),差异有统计学意义(P<0.05)。不同宫颈糜烂程度患者阳性检出率比较,差异有统计学意义(P<0.05)。41~60岁女性的解脲支原体、沙眼衣原体的阳性检出率低于20~40岁女性的阳性检出率,差异有统计学意义(P<0.05)。结论沙眼衣原体与解脲支原体联合检测可有效提高宫颈糜烂的诊断率,在判断宫颈糜烂程度方面具有指导作用,可作为早期宫颈糜烂诊断及临床疗效判断的重要指标。

Objective To analyze the role of Chlamydia trachomatis and ureaplasma urealyticum in the clinical diagnosis of cervical erosion.Methods 150 patients with cervical erosion and 150 patients with cervical inflammation were selected as the study group and the control group.The positive rates of ureaplasma urealyticum and Chlamydia trachomatis in different degrees of cervical erosion were analyzed.The positive detection rates of the two methods were observed in the study groups with different degrees of erosion.The positive detection rate of the two methods in different age groups was compared.Results The positive detection rates of Chlamydia trachomatis and ureaplasma urealyticum in the study group(72.67%,87.33%)were higher than those in the control group(8.00%,12.67%),and the difference was statistically significant(P<0.05).The positive detection rate of patients with different degrees of cervical erosion was significantly different(P<0.05).The positive rates of ureaplasma urealyticum and Chlamydia trachomatis in women aged 41~60 years were lower than those in women aged 20-40 years,and the difference was statistically significant(P<0.05).Conclusion The combined detection of Chlamydia trachomatis and ureaplasma urealyticum can effectively improve the diagnostic rate of cervical erosion,which has a guiding role in judging the degree of cervical erosion,and can be used as an important index for the diagnosis of early cervical erosion and the judgment of clinical efficacy.