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目的分析女性生殖道支原体(UU)、衣原体(CT)、淋球菌(NG)感染对不孕不育的影响及其相关性。方法选取女性不孕症患者122例为观察组,其中原发性不孕患者54例,继发性不孕患者68例;另选取同期进行健康体检的正常生育妇女122例为对照组。取所有研究对象的宫颈分泌物,分别采用UU、NG培养法及CT快速免疫法对UU、CT、NG进行检测,比较并分析两组患者感染情况。结果观察组患者UU、CT、NG检出率分别为36.9%、21.3%、14.8%,较对照组UU、CT、NG检出率均明显提高,差异均有统计学意义(P<0.05);与原发性不孕患者比较,继发性不孕患者UU、CT、NG检出率均明显提高,差异均有统计学意义(P<0.05)。结论女性生殖道支原体、衣原体及淋球菌感染与不孕症的发生具有非常密切的关系,尤其是继发性不孕症,临床上可将UU、CT、NG检测作为不孕症的常规项目。
Objective To analyze the influence of female genital tract mycoplasma (UU), chlamydia (CT) and neisseria gonorrhoeae (NG) infection on infertility. Methods 122 cases of female infertility were selected as the observation group, including 54 cases of primary infertility and 68 cases of secondary infertility; 122 cases of normal fertility women in the same period were selected as the control group. UU, NG culture method and CT rapid immunization method were used to detect the cervical secretions of all the subjects. UU, CT and NG were detected, and the infection of the two groups was compared and analyzed. Results The detection rates of UU, CT and NG in the observation group were 36.9%, 21.3% and 14.8% respectively. The detection rates of UU, CT and NG in the observation group were significantly higher than those in the control group (P <0.05). Compared with the primary infertility patients, the detection rate of UU, CT and NG in patients with secondary infertility were significantly increased, the differences were statistically significant (P <0.05). Conclusion Female genital Mycoplasma, Chlamydia and Neisseria gonorrhoeae infection are closely related to the occurrence of infertility, especially secondary infertility. UU, CT and NG tests can be used clinically as a common item of infertility.