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目的研究慢性盆腔炎患者子宫颈管微生物菌群的致病性及对抗生素的敏感性。方法对501例慢性盆腔炎患者进行B超、CT及腔镜检查,同时进行细菌形态学、PCR等检测。结果三分之一的慢性盆腔炎患者在子宫颈管有肠道菌群,其中肠球菌及肠杆菌对阿奇霉素和交沙霉素高度敏感。结论子宫颈管微生物菌群交叉感染或者定植菌感染程度是评价治疗是否有效的手段,还可确定炎性复发的危险性。
Objective To study the pathogenicity and antibiotic sensitivity of cervical flora in patients with chronic pelvic inflammatory disease. Methods 501 patients with chronic pelvic inflammatory disease were examined by B-mode ultrasonography, CT and endoscopy. Bacterial morphology and PCR were also performed. Results One third of patients with chronic pelvic inflammatory disease had intestinal flora in the cervix, with enterococci and enterobacteria being highly sensitive to azithromycin and josamycin. Conclusion The cross-infection of the cervical canal microbial flora or the degree of infection of the colonization bacteria is a measure to evaluate whether the treatment is effective and the risk of inflammatory relapse can also be determined.