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[女性下生殖道中动弯杆菌属的定植率及其与细菌性阴道病的关系]

[Colonization rates of Mobiluncus spp. in female lower genital tract and its relationship with bacterial vaginosis].

作者信息

Kaneko T, Kubota T, Takada M, Oguri T

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Juntendo University, Tokyo.

出版信息

Kansenshogaku Zasshi. 1992 Mar;66(3):382-9. doi: 10.11150/kansenshogakuzasshi1970.66.382.

DOI:10.11150/kansenshogakuzasshi1970.66.382
PMID:1624828
Abstract

To clarify the colonization rate of Mobiluncus spp., 889 specimens were collected from the vagina and 688 specimens from the cervical canal in three groups of women, namely, non-pregnant women, pregnant women, and patients fulfilling the criteria of bacterial vaginosis. On screening, this organism was detected from the vagina in 18/576 cases (3.2%) in non-pregnant women and in 2/280 cases (0.7%) in pregnant women, and it was detected from the cervical canal in 12/410 cases (2.9%) in non-pregnant women, and 3/278 (1.1%) in pregnant women. Although the positive rates were slightly higher in non-pregnant women from both the vagina and cervical canal, they were not significant. However, in cases of bacterial vaginosis, the positive rate of Mobiluncus spp. was 9/33 cases (27.3%), so that it was significantly higher than in the other two groups. Although the role of Mobiluncus spp. in bacterial vaginosis has not been clarified, our results indicate that the presence of Mobiluncus spp. is abnormal, since its colonization rate in healthy women is too small to be regarded as a member of normal flora. G. vaqinalis and anaerobes (other than Mobiluncus spp.) are also closely connected to bacterial vaginosis. G. vaginalis alone was seen in 7/33 cases (21.3%), anaerobes alone in 7/33 (21.3%), and Mobiluncus spp. alone in 3/33 cases (9.1%). Multiple infections including 2 or 3 of the above organisms were seen in 13/33 cases (39.3%), and all cases had anaerobes. On the other band, only three cases were infected by none of the above organisms.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

为明确动弯杆菌属的定植率,从三组女性(即非孕妇、孕妇以及符合细菌性阴道病标准的患者)中采集了889份阴道标本和688份宫颈管标本。筛查发现,非孕妇中18/576例(3.2%)阴道检出该菌,孕妇中2/280例(0.7%)阴道检出;非孕妇中12/410例(2.9%)宫颈管检出,孕妇中3/278例(1.1%)宫颈管检出。虽然非孕妇阴道和宫颈管的阳性率略高,但差异无统计学意义。然而,在细菌性阴道病患者中,动弯杆菌属的阳性率为9/33例(27.3%),显著高于其他两组。虽然动弯杆菌属在细菌性阴道病中的作用尚未明确,但我们的结果表明,动弯杆菌属的存在是异常的,因为其在健康女性中的定植率极低,不能被视为正常菌群的一员。阴道加德纳菌和厌氧菌(除动弯杆菌属外)也与细菌性阴道病密切相关。仅阴道加德纳菌阳性见于7/33例(21.3%),仅厌氧菌阳性见于7/33例(21.3%),仅动弯杆菌属阳性见于3/33例(9.1%)。上述2种或3种微生物的多重感染见于13/33例(39.3%),且所有病例均有厌氧菌感染。另一方面,仅3例未感染上述任何一种微生物。(摘要截选至250词)

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