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目的 (1)了解慢性盆腔炎患者宫颈局部分泌物及盆腔病原体培养结果的一致性;(2)了解盆腔炎患者盆腔与宫颈病原微生物感染的情况。方法对2009年12月至2010年3月因慢性盆腔炎住院患者,将其宫颈局部分泌物进行病原体培养,后经腹腔镜将其盆腔积液或盆腔冲洗液进行病原体培养,将培养结果进行对比。结果 (1)慢性盆腔炎患者盆腔与宫颈分泌物病原微生物培养有中度一致性,Kappa=0.494,Z<0.05,差异有统计学意义;(2)PID患者中,UU检出率高,在宫颈局部及盆腔积液或冲洗液中的检出率分别为46.07%和27.45%;CT的检出率也较高,在宫颈局部及盆腔积液或冲洗液的检出率分别为19.60%和17.64%。结论慢性盆腔炎患者中严格按照操作行宫颈局部分泌物培养对盆腔炎用药有一定的指导意义,盆腔及宫颈局部UU感染率明显高于其他STD病原体。
Objectives (1) to understand the consistency of cervical local secretions and pelvic pathogen culture in patients with chronic pelvic inflammatory disease; (2) to understand pelvic and cervical pathogenic microbial infections in patients with pelvic inflammatory disease. Methods From December 2009 to March 2010, patients with chronic pelvic inflammatory disease were enrolled in this study. Their cervical secretions were then cultured in pathogen. The pelvic fluid or pelvic fluid was laparotomy for pathogen culture. The results of the culture were compared . Results (1) There was a moderate consistency in the culture of pathogenic microorganisms in pelvic and cervical secretions in patients with chronic pelvic inflammatory disease, Kappa = 0.494, Z <0.05, the difference was statistically significant; (2) The detection rates of cervical and pelvic fluid or washing fluid were 46.07% and 27.45% respectively. The detection rate of CT was also higher. The detection rates of local and pelvic fluid or washing fluid were 19.60% and 17.64%. Conclusion In patients with chronic pelvic inflammatory disease, stricture according to the operation of cervical secretions culture of pelvic inflammatory disease have some guiding significance, pelvic and cervical local UU infection was significantly higher than other STD pathogens.