Cohen C R, Brunham R C
Department of Obstetrics and Gynecology, University of Washington, Seattle 98103-6460, USA.
Sex Transm Infect. 1999 Feb;75(1):21-4. doi: 10.1136/sti.75.1.21.
Further research is necessary to elucidate the pathogenesis of chlamydial PID. It is hoped that these endeavours will eventually lead to a vaccine to prevent not only chlamydia infection, but also chlamydia associated infertility, ectopic pregnancy, and chronic pelvic pain. In the meantime we need to develop strategies to prevent primary and secondary chlamydia infection and its sequelae. Recently, Scholes et. al demonstrated that a population based approach to identify and test women at high risk for cervical C trachomatis infection effectively reduced risk of PID. Hopefully, through the use of public health measures, we can see similar decreases of chlamydia associated genital tract disease worldwide.
有必要进行进一步研究以阐明衣原体性盆腔炎的发病机制。希望这些努力最终能研发出一种疫苗，不仅可预防衣原体感染，还能预防与衣原体相关的不孕、异位妊娠和慢性盆腔疼痛。与此同时，我们需要制定策略来预防衣原体的原发和继发感染及其后遗症。最近，斯科尔斯等人证明，采用基于人群的方法来识别和检测宫颈沙眼衣原体感染高危女性，可有效降低盆腔炎风险。有望通过公共卫生措施的实施，在全球范围内看到衣原体相关生殖道疾病的类似减少。
