Spence M R, Barbacci M, Kappus E, Quinn T
Obstet Gynecol. 1986 Nov;68(5):691-5.
A prospective study of 300 patients undergoing therapeutic termination of pregnancy was conducted. A Papanicolaou smear was obtained and a clinical evaluation of the cervix was made. Specimens from the cervix were examined by both direct fluorescent antibody and culture techniques for the presence of Chlamydia trachomatis. The presence of inflammation on Papanicolaou smear could be correlated with C trachomatis isolation. Papanicolaou smear findings consistent with C trachomatis lacked both sensitivity and specificity when compared with direct fluorescent antibody and/or culture techniques. A correlation was found between the clinical diagnosis of cervicitis and C trachomatis. This interrelationship was absent when the component findings of cervicitis (ectopy, friability, and purulent mucus) were examined independently.
对300例接受治疗性终止妊娠的患者进行了一项前瞻性研究。采集了巴氏涂片并对宫颈进行了临床评估。通过直接荧光抗体和培养技术检查宫颈标本中沙眼衣原体的存在情况。巴氏涂片上炎症的存在与沙眼衣原体分离相关。与直接荧光抗体和/或培养技术相比,与沙眼衣原体一致的巴氏涂片结果缺乏敏感性和特异性。发现宫颈炎的临床诊断与沙眼衣原体之间存在相关性。当独立检查宫颈炎的组成部分(宫颈外翻、易碎性和脓性黏液)时,这种相互关系不存在。