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目的探讨阴道出血对异位妊娠妇女生殖道微生态的影响。方法 92例异位妊娠患者分为三组:无出血组(A组)、短期出血组(B组≤7 d)和长期出血组(C组>7 d)。比较三组患者的白细胞计数异常率、加德纳菌检出率和解脲支原体检出率。结果三组患者白细胞计数异常率、加德纳菌检出率和脲支原体检出率,差异均无统计学意义(P>0.05)。A组与B组相比,乳酸杆菌的检出率差异无统计学意义(P>0.05);但是,将A和B组合并后与C组比较,乳酸杆菌的检出率差异有统计学意义(P<0.05)。B组患者乳酸杆菌检出率(84%)显著高于C组(55%)。结论阴道出血对异位妊娠妇女生殖道微生态有一定影响,出血时间长短与乳酸杆菌检出率有一定关系。
Objective To investigate the effect of vaginal bleeding on reproductive tract microecology in ectopic pregnancy. Methods 92 cases of ectopic pregnancy were divided into three groups: no bleeding group (A group), short-term bleeding group (B group less than 7 days) and long-term bleeding group (C group> 7 days). The abnormal rates of white blood cell count, the rate of Gardnerella and the detection rate of Ureaplasma urealyticum were compared between the three groups. Results The abnormal rates of white blood cell count, the rate of Gardnerella and the detection rate of Ureaplasma urealyticum in the three groups were not significantly different (P> 0.05). There was no significant difference in the detection rate of Lactobacillus between group A and group B (P> 0.05). However, the detection rate of lactobacilli was significantly different between group A and group B compared with group C (P <0.05). The detection rate of Lactobacillus in group B (84%) was significantly higher than that in group C (55%). Conclusions Vaginal bleeding has some influence on the reproductive tract microecology of ectopic pregnancy. The length of bleeding time is related to the detection rate of lactobacilli.