粘液脓性宫颈炎的病原体检测

Detection of Pathogen in Patients with Mucopurulent Cervicitis

目的:检测粘液脓性宫颈炎的病原体,探讨病症处理的准确性和临床疗效。方法:选择具有粘液脓性宫颈分泌物的性病门诊初诊患者113例,宫颈无粘液脓性分泌物者,105例进行病原检测。比较两者病原检出率的差异。结果:119例观察病例中,病原检出率94.96％,其中淋球菌为19.33％、沙眼衣原体62.18％,混合感染率69.07％,与对照组相比,均有显著性差异(P<0.005);支原体检出率77.31％,和对照组无差异(P>0.05)。随访患者的治愈率为95.8％,总有效率为100％。结论:淋球菌、沙眼衣原体和支原体是粘液脓性宫颈炎的主要病原体,混合感染率也高。

Objective:To detect pathogen in patients with mucopurulent cervicitis and observe the therapeutic effects of syndromic management. Methods: The pathogen was detected by laboratory testing, then compared with that of normal control. 113 cases with mucopurulent discharge and 105 normal ones were adopted in the study and control group respectively. Results: The results showed that the pathogen positive rate in 119 cases with cervical mucopurulent discharge were 94.96% ; the positive of neisseria gonorrhoeae was 19.33% , chlamydia was 62.18% , the mix infection was 69.07% . It was statistics significant ( P < 0.005 ) compared with that of normal control, no significant difference of the positive rate of ureaplasma urealytricum was found between tow groups ( P > 0.05). The cured rate and total responsive rate were 95.8% and 100% . Conclusion;Infection of neisseria gonorrhoeae, chlamydia trachomatis and ureaplasma urealytricum were the main causes of the patients with mucopurulent cervicitis.