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弓形虫抗体与自然流产

Toxoplasma antibodies and spontaneous abortion.

作者信息

Lolis D, Tzigounis V, Michalas S, Koumentakou E, Kaskarelis D

出版信息

Int J Gynaecol Obstet. 1978;15(4):299-301. doi: 10.1002/j.1879-3479.1977.tb00697.x.

Abstract

One hundred and fifty-two women with spontaneous abortion were investigated by hemagglutination (HA) and immunofluorescence antibody (IFA) tests for toxoplasmosis. In 48 cases, quantitive immunoglobulin (Ig) studies and mouse inoculation with gestational material were performed. Positive toxoplasma antibody titers were observed in 62 cases (40.8%) using HA and in 52 cases (38.2%) using IFA. This prevalence was significantly higher than that observed in 80 normal women who served as controls. Toxoplasma gondii was isolated in two cases. No correlation was found between antibody titers and IgG, IgM or IgA levels. We conclude that toxoplasmosis should be considered as the cause of abortion when a patient's antibody titer exceeds 1:256.

摘要

对152例自然流产的妇女进行了血凝试验(HA)和免疫荧光抗体试验(IFA)以检测弓形虫病。其中48例进行了定量免疫球蛋白(Ig)研究并将妊娠组织接种于小鼠。采用HA检测时,62例(40.8%)弓形虫抗体滴度呈阳性;采用IFA检测时,52例(38.2%)呈阳性。这一患病率显著高于作为对照的80例正常妇女。两例中分离出了刚地弓形虫。未发现抗体滴度与IgG、IgM或IgA水平之间存在相关性。我们得出结论,当患者抗体滴度超过1:256时,应将弓形虫病视为流产的病因。

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