盆腔脓肿与非感染性良性附件包块宫颈分泌物病原体培养的对比研究

发布时间：2018-09-10 19:23

【摘要】：目的探讨外源性病原菌在盆腔脓肿中的致病作用,为临床治疗盆腔脓肿提供参考。方法选取2014年1月-2016年6月盆腔脓肿住院患者105例为研究组,并选取同期住院的非感染性良性附件包块患者107例为对照组;回顾性分析两组患者的病历资料,采集两组患者的宫颈分泌物,分别检测沙眼衣原体、人型支原体和解脲支原体;并做淋病奈瑟菌培养;根据B超结果记录两组病例盆腔包块直径。结果研究组与对照组在避孕套使用方面差异有统计学意义(14.29%vs 41.12%,P0.01),在宫内节育器放置方面差异有统计学意义(37.14%vs 9.35%,P0.01);两组沙眼衣原体和人型支原体阳性率比较,分别为22.34%vs 5.61%和31.52%vs 9.80%,差异有统计学意义(P0.01);解脲脲原体在两组中的感染率均最高(54.35%vs 55.88%),但两组间差异无统计学意义;淋球菌感染率较低(2.56%vs 0.00%),两组比较差异无统计学意义。结论使用安全套能降低盆腔炎性疾病的患病率,而使用宫内节育器的妇女更容易感染盆腔炎性疾病;沙眼衣原体是盆腔脓肿的主要致病菌;人型支原体阳性率高于对照组的结果表明人型支原体也可能是盆腔炎性疾病的致病菌之一;两组中的解脲脲原体均呈现高阳性率;由于解脲脲原体既是致病菌也是共生菌,单纯的解脲脲原体阳性并不具有明确的临床意义。
[Abstract]:Objective to investigate the pathogenicity of exogenous pathogens in pelvic abscess and to provide reference for clinical treatment of pelvic abscess. Methods from January 2014 to June 2016, 105 patients with pelvic abscess were selected as study group and 107 patients with noninfectious benign adnexal mass as control group. The cervical secretions of the two groups were collected, chlamydia trachomatis, Mycoplasma hominis and Ureaplasma Urealyticum were detected, and Neisseria gonorrhoeae was cultured. Results there were significant differences in condom use between the study group and the control group (14.29%vs 41.12g / P0.01) and in the placement of intrauterine device (37.14%vs 9.35g / P0.01), and the positive rates of chlamydia trachomatis and mycoplasma hominis were compared between the two groups. The infection rate of Ureaplasma Urealyticum in the two groups was the highest (54.35%vs 55.88%), but there was no significant difference between the two groups, and the infection rate of Neisseria gonorrhoeae was lower (2.56%vs 0.00%), there was no significant difference between the two groups. Conclusion condom use can reduce the prevalence of pelvic inflammatory diseases, while women who use intrauterine devices are more likely to be infected with pelvic inflammatory diseases, Chlamydia trachomatis is the main pathogen of pelvic abscess. The positive rate of Ureaplasma hominis is higher than that of the control group. The results indicate that Mycoplasma hominis may also be one of the pathogens of pelvic inflammatory disease. Ureaplasma Urealyticum showed a high positive rate in both groups. Because Ureaplasma Urealyticum is both a pathogen and a symbiotic bacterium, Simple Ureaplasma Urealyticum positive does not have clear clinical significance.
【作者单位】：浙江省人民医院妇科;
【基金】：浙江省自然科学基金资助项目(LQ16H160018)
【分类号】：R711.3

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