生殖道解脲脲原体和衣原体感染与不孕症的相关性分析

发布时间：2018-01-15 06:17

本文关键词：生殖道解脲脲原体和衣原体感染与不孕症的相关性分析　出处：《中华医院感染学杂志》2017年13期 　论文类型：期刊论文

【摘要】：目的探讨女性生殖道解脲脲原体和沙眼衣原体与不孕症的相关性,为临床不孕症的诊治提供依据。方法选择2013年1月-2016年1月医院就诊的不孕症患者400例为不孕症组,将其中160例原发性不孕症患者列为原发性不孕症组;240继发性不孕症患者列为继发性不孕症组;选择同期进行孕前检查或健康体检400例育龄女性为对照组;检查并分析不孕症组和对照组患者生殖道解脲脲原体和沙眼衣原体的感染情况。结果不孕症组的解脲脲原体、衣原体及解脲脲原体+衣原体的感染率均明显高于对照组(P0.05);在不孕症患者中,不同年龄组解脲脲原体、衣原体及解脲脲原体+衣原体的感染率不同,20~30岁、30~40岁和40~45岁组感染率比较差异有统计学意义(P0.05),其中20~30岁组感染率最高,40~45岁组解脲脲原体、衣原体及解脲脲原体+衣原体的感染率明显低于20~30岁及30~40岁组。结论不孕症患者生殖道解脲脲原体和沙眼衣原体的感染率明显升高,对于不孕症患者应该重视生殖道解脲脲原体和沙眼衣原体的检查。
[Abstract]:Objective to investigate the relationship between Ureaplasma Urealyticum and Chlamydia trachomatis in female genital tract and infertility. Methods from January 2013 to January 2016, 400 patients with infertility were selected as infertility group. 160 cases of primary infertility were classified as primary infertility group. 240 patients with secondary infertility were classified as secondary infertility group; 400 women of childbearing age were selected as control group. The infection of Ureaplasma Urealyticum and Chlamydia trachomatis in reproductive tract of infertility and control group were examined and analyzed. Results Ureaplasma Urealyticum was detected in infertility group. The infection rates of chlamydia Urealyticum and chlamydia Urealyticum were significantly higher than those of control group (P 0.05). The infection rates of Ureaplasma Urealyticum, Chlamydia Urealyticum and Chlamydia Urealyticum in different age groups in infertile patients were 20 to 30 years old. There was significant difference in infection rate between 40 and 40 years old group (P 0.05). The highest infection rate was Ureaplasma Urealyticum in 40 45 years old group. The infection rates of chlamydia Urealyticum and chlamydia Urealyticum were significantly lower than those of the patients aged 20 to 30 and those aged 30 to 40. Conclusion the infection rates of Ureaplasma Urealyticum and Chlamydia trachomatis in reproductive tract of infertile patients were significantly higher. For infertility patients should pay attention to the reproductive tract Ureaplasma Urealyticum and Chlamydia trachomatis examination.
【作者单位】：湖州市妇幼保健院妇产科;复旦大学附属妇产科医院妇科;
【基金】：浙江省医药卫生一般研究计划基金资助项目(2014KYB254)
【分类号】：R711.6
【正文快照】： 道因素外,与神经内分泌和免疫因素也有一定的相关性,其中输卵管因素引起不孕主要为生殖道的炎症导致输卵管的粘连阻塞,使精子和卵子无法相遇受精,从而引起不孕。其中解脲脲原体感染和沙眼衣原体感染是导致女性生殖道炎症从而引起不孕的比较常见的病原体[1]。支原体的检测方法

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