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自 1995年 6月～ 1998年底于山东医科大学第一附属医院计划生育门诊选择 148例患者 ,放置有活性的宫内节育器 ( IU D) 32例 (均为有尾丝者 )为 A组 ,放置惰性 IU D者 5 6例为 B组 ;未放置 IU D的育龄妇女 ,其中无生殖器炎症者 30例为 C组 ,有盆腔炎症者 30例为 D组。各组均采用无菌操作取出宫腔内分泌物 ,同步进行了需氧菌、厌氧菌及其 L 型菌的分离培养 ;A、B两组同时取出 IUD做需氧菌培养 ,其培养阳性结果是 :A、B、C三组间无显著性差异 ( P>0 .0 5 ) ;A、B、C与 D组间均有显著性差异 ( P<0 .0 5 ) ;并用免疫酶染色法检测宫腔分泌物涂片中的金黄色葡萄球菌及该菌的 L 型 ,与培养结果相比无显著性差异。用 PCR法检测了单纯疱疹病毒 型 ( HSV- ) ,淋球菌 ( NG) ,解脲脲原体 ( U U)及生殖道衣原体 ( CT) ,结果是 A、B、C三组与 D组均有显著性差异 ( P<0 .0 5 )
From June 1995 to the end of 1998, 148 patients were enrolled in the family planning outpatient department of the First Affiliated Hospital of Shandong Medical University. There were 32 cases of IUD (both having IUD) Fifty-six women of childbearing age who did not place IU D, 30 of whom had no genital inflammation were Group C, and 30 of those who had pelvic inflammatory disease were Group D. All groups were treated with aseptic removal of intrauterine secretions, simultaneous aerobic bacteria, anaerobic bacteria and their L-type bacteria were isolated and cultured; A, B both groups were taken out of the IUD aerobic culture, the culture of positive results There was no significant difference between A, B and C groups (P> 0.05); there was significant difference between A, B, C and D groups (P <0.05) Law detection of uterine secretion smear Staphylococcus aureus and the L-shaped bacteria, compared with the culture results no significant difference. The herpes simplex virus (HSV-), Neisseria gonorrhoeae (NG), UU (Ureaplasma urealyticum) and genital chlamydia (CT) were detected by PCR. The results showed that the three groups of A, B, Significant difference (P <0. 05)