沙眼衣原体感染与不孕女性输卵管通畅及不通畅情况之间的关系。
Relationship between Chlamydia Trachomatis Infection with Patency Tubal and Non-Patency Tubal Occurrence in Infertile Women.
作者信息
Sukatendel Khairani, Mayniar Tri Ebta, Aboet Aswar, Adela Cut Adeya, Lumbanraja Sarma, Ichsan T M, Edianto Deri
机构信息
Department of Obstetrics and Gynecology, Medical Faculty of Medicine, Universitas Sumatra Utara, Jl. Bunga Lau No. XVII, Medan, Indonesia.
出版信息
Open Access Maced J Med Sci. 2019 Oct 14;7(20):3437-3442. doi: 10.3889/oamjms.2019.440. eCollection 2019 Oct 30.
AIM
To determine the relationship between infections with patency tubal and non-patency tubal occurrence in infertile women.
METHODS
This research was an observational analytic research with a cross-sectional study. This research was conducted at Haji Adam Malik General Hospital Medan, Pramita Laboratory Medan and Medical Faculty of Medicine Universitas Sumatera Utara. Laboratory on October 2017 until the number of samples was fulfilled. The samples were women who were referred to Pramita Laboratory Medan for hysterosalpingography procedure in accordance which corresponded to the inclusion criteria by using consecutive sampling technique.
RESULTS
From this research, it was found that the most infertile women were aged 31-35 years, with the most infertility type was primary infertility (83,8%) with the longest infertility duration was ≥ 3 years (44%). From all samples who were infertile, 26% among them were positive to chlamydia infection. Eight from twelve people who were infected by experienced non-patency tubal (66.7%) with p-value = 0.001 which showed that there was a relationship between infection with patency tubal and non-patency tubal occurrence in infertile women.
CONCLUSION
The proportion of infection in tubal abnormality in this study was 66.7%, whereas infection in the normal tube was 13.2%. It was obtained that there was a significant relationship between Chlamydia Trachomatis infection with tubal abnormality (non-patency tubal) with p-value < 0.005 (p = 0.001).
目的
确定不孕女性通畅输卵管感染与不通畅输卵管发生之间的关系。
方法
本研究为观察性分析研究，采用横断面研究。本研究在棉兰哈芝亚当·马利克综合医院、棉兰普拉米塔实验室和北苏门答腊大学医学院进行。研究于2017年10月开展，直至样本数量满足要求。样本为根据纳入标准被转诊至棉兰普拉米塔实验室进行子宫输卵管造影术的女性，采用连续抽样技术。
结果
通过本研究发现，大多数不孕女性年龄在31 - 35岁，不孕类型以原发性不孕居多（83.8%），不孕时间最长的为≥3年（44%）。在所有不孕样本中，26%的人衣原体感染呈阳性。12名感染者中有8人输卵管不通畅（66.7%），p值 = 0.001，这表明不孕女性通畅输卵管感染与不通畅输卵管发生之间存在关联。
结论
本研究中输卵管异常的衣原体感染比例为66.7%，而正常输卵管的衣原体感染比例为13.2%。得出沙眼衣原体感染与输卵管异常（不通畅输卵管）之间存在显著关联，p值 < 0.005（p = 0.001）。
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