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[衣原体感染对宫颈炎女性生殖功能的影响]

[The influence of chlamydial infection on the reproductive function in women with cervicitis].

作者信息

Grueva E, Borisov I

出版信息

Akush Ginekol (Sofiia). 2006;45(6):35-9.

Abstract

The objectives of the present study were to determine the reproductive capacity and the most likely target groups for chlamydial infection in women with clinically manifested cervicitis. 2 To establish the impact of chlamydial infection on the reproductive function of the women with cervicitis. Chlamydial infection was diagnosed by direct immunofluorescence (DIF) in cervical smears. 553 sexually active women in reproductive age with clinically manifested cervicitis were examined. According to their chief complaint the patients were classified as: 1. Women with infertility 2. Oral contraceptive users 3. IUD users 4. Women with vaginal discharge and clinically manifested cervicitis 5. Pregnant women with signs of cervicitis. 6. Women with accompanying sexually transmitted infections. The results show that the predominant part of the women with chlamydial infection are in the age group 20-29 years (32,7% - 181/553). In this group chlamydial infection was most prevalent in oral contraception pill users /64/181 - 35,4%/ and those with vaginal discharge and clinically manifested cervicitis. 66/181 - 36,5%. Chlamydial infection as a cause of cervicitis was found in 14,6% of the pregnant women with cervicitis. Most of the positive for Chlamydia trachomatis patients had not given birth to a child and have not realized their reproductive potential.

摘要

本研究的目的是确定临床表现为宫颈炎的女性衣原体感染的生殖能力及最可能的目标人群。2. 确定衣原体感染对宫颈炎女性生殖功能的影响。通过宫颈涂片直接免疫荧光法(DIF)诊断衣原体感染。对553名临床表现为宫颈炎的育龄性活跃女性进行了检查。根据主要诉求,将患者分为:1. 不孕女性;2. 口服避孕药使用者;3. 宫内节育器使用者;4. 有白带且临床表现为宫颈炎的女性;5. 有宫颈炎体征的孕妇;6. 伴有性传播感染的女性。结果显示,衣原体感染女性的主要部分在20 - 29岁年龄组(32.7% - 181/553)。在该组中,衣原体感染在口服避孕药使用者中最为普遍/64/181 - 35.4%/以及有白带且临床表现为宫颈炎的女性中/66/181 - 36.5%/。在有宫颈炎的孕妇中,14.6%的病例发现衣原体感染是宫颈炎的病因。大多数沙眼衣原体检测呈阳性的患者尚未生育,也未实现其生殖潜能。

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