人工流产术后盆腔感染与孕期细菌性阴道病

Post-Abortional Pelvic Inflammatory Disease and Bacterial Vaginosis

目的 :探讨人工流产术后盆腔感染与常见的下生殖感染———细菌性阴道病的关系。方法 :对 1998年至 1999年在我院门诊接受人工流产的 4 2 5名妇女进行细菌性阴道病的检查和诊断 ,并对感染者进行适当的治疗 ,观察这些妇女在人流术后的盆腔感染情况。结果 :早孕妇女的细菌性阴道病患病率为 5 6 % ,临床表现以白带增多和异味为主 ,近一半患者的阴道分泌物培养出厌氧菌。经过治疗的妇女在接受人流手术后 ,无人发生术后盆腔感染。而对照组术后盆腔感染的发生率为 1%。结论 :早孕妇女伴有细菌性阴道病并不少见 。

Objective:To study the relationship between post-abortional pelvic inflammatory disease and bacterial vaginosis(BV)in women in first-trimester pregnacy.Methods:Four-hundred and twenty-five women with first-trimester pregnancy were included in the study during 1998-1999.They were diagnosed as BV according to Amsel's criteria.Patients were treated promptly.Incidence of PID was investigated in follow-up after artificial abortion.Results:The incidence of BV in these women was 5 6%.The main manifestation was increase of vaginal discharge with fishy odor.Half of the patients had positive anaerobic cultures.None of them occurred PID after artificial abortion.The incidence of PID was 1% in the control. Conclusion:BV was not rare in women in first-trimester pregnancy.Effective and prompt of treatment before operation were very important in prevention and decrease of post-operation infections.