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子宫弓形虫感染与反复流产。

Uterine toxoplasma infections and repeated abortions.

作者信息

Stray-Pedersen B, Lorentzen-Styr A M

出版信息

Am J Obstet Gynecol. 1977 Aug 1;128(7):716-21. doi: 10.1016/0002-9378(77)90709-8.

DOI:10.1016/0002-9378(77)90709-8
PMID:327815
Abstract

Serologic testing for Toxoplasma antibodies (dye test, indirect fluorescent antibody test on serum, and complement-fixation test) was done in 96 women with habitual abortions and 61 women with sporadic abortions. In 61 of these women, endometrial biopsies were examined for content of T. gondii (animal inoculation procedures, immunofluorescence microscopy). Control subjects were 59 women with no spontaneous abortions. In seven patients (one control patient and six with habitual abortion), tachyzoites of T. gondii were observed in repeated biopsies from the endometrium and in menstrual blood by the immunofluorescence method. In no case, however, could T. gondii be isolated from the endometrium by inoculations. Moreover, the serologic results obtained among the patients with habitual abortion did not differ significantly from those obtained among the ones with sporadic abortion or among the control subjects. Five of the women with Toxoplasma-positive endometrium were serologically negative. Treatment of the Toxoplasma-positive women with antitoxoplasma drugs led to removal of parasites from the endometrium. T. gondii was not observed in the semen of the husbands.

摘要

对96例习惯性流产妇女和61例偶发性流产妇女进行了弓形虫抗体血清学检测(染色试验、血清间接荧光抗体试验和补体结合试验)。其中61例妇女进行了子宫内膜活检,以检查弓形虫的含量(动物接种程序、免疫荧光显微镜检查)。对照组为59例无自然流产的妇女。通过免疫荧光法,在7例患者(1例对照患者和6例习惯性流产患者)的子宫内膜重复活检组织和月经血中观察到了弓形虫速殖子。然而,通过接种均未从子宫内膜中分离出弓形虫。此外,习惯性流产患者的血清学结果与偶发性流产患者或对照组的结果无显著差异。5例子宫内膜弓形虫阳性的妇女血清学检测呈阴性。用抗弓形虫药物治疗弓形虫阳性妇女可使子宫内膜中的寄生虫清除。在其丈夫的精液中未观察到弓形虫。

相似文献

1
Uterine toxoplasma infections and repeated abortions.子宫弓形虫感染与反复流产。
Am J Obstet Gynecol. 1977 Aug 1;128(7):716-21. doi: 10.1016/0002-9378(77)90709-8.
2
[Abortion in women with latent toxoplasma infections].
Klin Wochenschr. 1970 Jan 1;48(1):25-30. doi: 10.1007/BF01486124.
3
[Toxoplasmosis and threatened abortion].[弓形虫病与稽留流产]
Ginecol Obstet Mex. 1998 Dec;66:495-8.
4
[Toxoplasmosis and abortion in patients at the O'Horan Hospital of Merida, Yucatan].[尤卡坦州梅里达市奥霍兰医院患者的弓形虫病与流产]
Salud Publica Mex. 1989 Sep-Oct;31(5):664-8.
5
Incidence of positive toxoplasmosis hemagglutination test in the nigerian (Ibo) women with recurrent abortions.尼日利亚(伊博族)反复流产妇女弓形虫病血凝试验阳性的发生率。
Int J Fertil. 1981;26(2):132-4.
6
Comparison of Placenta PCR and Maternal Serology of Aborted Women for Detection of Toxoplasma gondii in Ardabil, Iran.伊朗阿尔达比勒地区流产女性胎盘PCR与母体血清学检测弓形虫的比较
Korean J Parasitol. 2017 Dec;55(6):607-611. doi: 10.3347/kjp.2017.55.6.607. Epub 2017 Dec 31.
7
Considerations on some cases of repeated abortions probabily due to Toxoplasma gondii (author's transl).
Acta Eur Fertil. 1972 Mar;3(1):5-18.
8
Toxoplasmosis and habitual abortion. Our experience.弓形虫病与习惯性流产。我们的经验。
Clin Exp Obstet Gynecol. 1981;8(3):132-4.
9
Is Sabin-Feldman dye test using T. gondii tachyzoites from animal inoculation still the best method for detecting Toxoplasma gondii antibodies?使用来自动物接种的刚地弓形虫速殖子进行的萨宾-费尔德曼染色试验仍是检测弓形虫抗体的最佳方法吗?
Southeast Asian J Trop Med Public Health. 2010 Sep;41(5):1059-64.
10
[Detection of anti-Toxoplasma gondii antibodies in subjects with repeated abortions, perinatal mortality and malformed infants].[对反复流产、围产期死亡及畸形婴儿患者抗弓形虫抗体的检测]
Ann Sclavo. 1976 Jan-Feb;18(1):75-81.

引用本文的文献

1
The global seroprevalence of anti-Toxoplasma gondii antibodies in women who had spontaneous abortion: A systematic review and meta-analysis.全球范围内自然流产妇女抗弓形虫抗体的血清流行率:系统评价和荟萃分析。
PLoS Negl Trop Dis. 2020 Mar 13;14(3):e0008103. doi: 10.1371/journal.pntd.0008103. eCollection 2020 Mar.
2
Miscarriage: how to help in the crisis.流产:如何在危机中提供帮助。
Can Fam Physician. 1985 May;31:1109-16.
3
Uterine atrophy in chronic murine toxoplasmosis due to ovarian dysfunction.慢性小鼠弓形虫病中由于卵巢功能障碍导致的子宫萎缩。
Parasitol Res. 1995;81(2):109-13. doi: 10.1007/BF00931614.
4
Obstetric infections.产科感染
West J Med. 1981 May;134(5):394-404.