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目的 探讨解脲脲原体、人型支原体与非淋菌性尿道炎( NGU)、粘液性宫颈炎( MPC)的相关性。方法 采用涂片法检测阴道毛滴虫、念珠菌和细菌性阴道病,EL ISA法测定衣原体和培养法分离淋球菌和支原体。结果 广东省皮肤性病防治中心性病门诊30 0例患者中,诊断为男性NGU34例和女性MPC83例。解脲脲原体总的检出率为30 % ( 90 / 30 0 )。女性总检出率为4 7.6 % ( 4 9/ 10 3) ,其中MPC组检出率为70 % ( 14 / 2 0 ) ,非MPC组为5 3% ( 4 4/ 83) ,两者比较差异无显著性( χ2 =1.4 8,P>0 .0 5 )。男性总检出率为16 .2 % ( 32 / 197) ,其中NGU组为35 .3% ( 12 / 34) ,非NGU为12 .3% ( 2 0 / 16 3) ,两者比较差异有显著性( χ2 =5 .5 6 ,P<0 .0 5 )。人型支原体仅在非NGU(粘液性宫颈炎)中检出9例( 3.0 % )。结论 解脲脲原体与男性NGU相关,而与女性MPC无相关性;人型支原体与NGU无相关性。临床实验室检出支原体时应慎重解释结果
Objective To investigate the relationship between Ureaplasma urealyticum, Mycoplasma hominis, non-gonococcal urethritis (NGU) and mucocutaneous cervicitis (MPC). Methods Trichomonas vaginalis, Candida albicans and bacterial vaginosis were detected by smear method. Neisseria gonorrhoeae and Mycoplasma were separated by ELISA assay. Results Among 30 0 STD clinics in Guangdong Dermatology and Venereology Center, 34 cases of male NGU and 83 female MPC were diagnosed. The total detection rate of Ureaplasma urealyticum is 30% (90/30). The total detection rate of women was 47.6% (49/103), of which the detection rate was 70% (14/20) in MPC group and 53% (44/83) in non-MPC group There was no significant difference (χ2 = 1.4 8, P> 0.05). The overall detection rate of males was 16.2% (32/197), with 35.3% (12/34) in NGU group and 12.3% (20/163) in non-NGU group, the difference was statistically significant Significance (χ2 = 5.56, P <0.05). Mycoplasma hominis only detected 9 cases (3.0%) in non-NGU (mucinous cervicitis). Conclusion Ureaplasma urealyticum is associated with male NGU, but not with female MPC. Mycoplasma hominis has no correlation with NGU. Mycoplasma clinically detected should be cautious interpretation of the results