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作者采用单克隆萤光抗体染色法检测516例妇科门诊患者宫颈沙眼衣原体(CT)感染状况,阳性者70例,阳性率13.6%;且发现CT感染随着年龄的增长而下降。CT感染的特征有阴道分泌物增多呈粘液及脓性、搔痒,腹痛及不孕等。CT沿宫颈管粘膜上行感染引起输卵管粘膜的损伤可能是引起不孕,异位妊娠的主要原因。选用可同时抗多种病原体的复合药灭菌灵阴道栓对66例CT感染阳性的患者进行局部用药及配偶治疗;疗效满意。早期诊断及治疗可预防CT上行性感染,降低女性盆腔炎性疾病的发生。
The authors tested the infection status of 516 cases of gynecological clinic in patients with gynecological outpatients using monoclonal antibody fluorescent staining, 70 cases were positive, the positive rate was 13.6%. CT infection was found to decline with age. CT infection is characterized by increased vaginal discharge mucus and purulent, itching, abdominal pain and infertility. CT along the cervical canal mucosal infection caused by tubal mucosal injury may be caused by infertility, ectopic pregnancy the main reason. Sixty-six patients with positive CT were selected for local treatment and spouse treatment with the combination of antibacterial vaginal suppository which can resist multiple pathogens at the same time. The curative effect was satisfactory. Early diagnosis and treatment of CT can prevent upward infection, reduce the incidence of female pelvic inflammatory disease.