生殖道支原体感染诊治专家共识

发布时间：2018-08-15 13:30

【摘要】：生殖道支原体感染是临床关注的热点问题,涉及多个学科。中国性学会性医学专业委员会生殖道感染学组组织多学科讨论,对临床支原体相关问题形成了共识。泌尿生殖道支原体存在无症状携带,以解脲支原体(U.urealyticum,Uu)为主,解脲支原体可分为微小脲原体和解脲支原体两种亚型,其中微小脲原体特别容易见于无症状携带。Uu和生殖支原体(M.genitalium,Mg)是导致尿道炎的重要致病微生物,Mg还是宫颈炎、盆腔炎的重要致病微生物。采用核酸分析的方法进行支原体检测更有利于支原体的诊治。如果男女双方均无泌尿生殖道感染的相关症状,仅Uu阳性,考虑为携带者,不必治疗。男性为Uu性尿道炎,建议同时治疗性伴。孕期下生殖道检出Uu的患者不需要进行干预和治疗。男性精液质量异常且有生育需求时,男女双方建议同时治疗一疗程。男女双方生殖道Uu培养阳性对IVF无明显影响。
[Abstract]:Mycoplasma genitalis infection is a hot issue in clinic, involving many disciplines. The generative tract infection Section of the sexual Medicine Professional Committee of the Chinese Society of Sex Science organized a multidisciplinary discussion and reached a consensus on clinical mycoplasma related issues. Ureaplasma Urealyticum Urealyticum Urealyticum can be divided into two subtypes: Ureaplasma minimus and Ureaplasma Urealyticum. UU and M. genitalium mg are the important pathogenic microorganism of urethritis or cervicitis, and the important pathogenic microorganism of pelvic inflammation is cervicitis. The detection of mycoplasma by nucleic acid analysis is beneficial to the diagnosis and treatment of mycoplasma. If both men and women have no symptoms of genitourinary tract infection, only UU positive, consider carriers, do not need treatment. Male UU urethritis is recommended to be treated at the same time. Patients with UU detected in the reproductive tract during pregnancy do not need intervention and treatment. When male semen quality is abnormal and there is fertility demand, both men and women recommend a course of treatment at the same time. There was no significant effect on IVF in both male and female genital tract UU culture positive.
【作者单位】：北京大学第一医院妇产科;中国性学会性医学专业委员会生殖道感染学组;
【分类号】：R759

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