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目的研究淋病双球菌、沙眼衣原体、解脲支原体在急性盆腔炎发病中的作用。方法对128例急性盆腔炎患者的宫颈分泌物采用培养及免疫层析法检测。结果128例急性盆腔炎患者中,淋病双球菌检出率为18.0%(23/128),其中10例为混合感染;沙眼衣原体检出率为7.8%(10/128),其中8例为混合感染;解脲支原体检出率为39.9%(51/128),其中19例为混合感染。结论淋病双球菌、解脲支原体可成为急性盆腔炎的发病因素,沙眼衣原体病原体在急性盆腔炎发病中可能只起到协同作用。
Objective To study the role of Gonorrhea gonorrhoeae, Chlamydia trachomatis and Ureaplasma urealyticum in the pathogenesis of acute pelvic inflammatory disease. Methods Cervical secretions of 128 patients with acute pelvic inflammatory disease were detected by culture and immunochromatography. Results Of the 128 patients with acute pelvic inflammatory disease, the detection rate of Neisseria gonorrhoeae was 18.0% (23/128), of which 10 were mixed infection. The detection rate of Chlamydia trachomatis was 7.8% (10/128), of which 8 were mixed The detection rate of Ureaplasma urealyticum was 39.9% (51/128), of which 19 were mixed infection. Conclusion Gonococcus and Ureaplasma urealyticum can be the risk factors for acute pelvic inflammatory disease. Chlamydia trachomatis pathogens may only play a synergistic role in the pathogenesis of acute pelvic inflammatory disease.