性活跃女性泌尿系统症状的病因
Aetiology of urinary symptoms in sexually active women.
作者信息
Feldman R G, Johnson A L, Schober P C, Bignell C J, Ridgway G L, Oriel J D
出版信息
Genitourin Med. 1986 Oct;62(5):333-41. doi: 10.1136/sti.62.5.333.
Two hundred and fifty six unselected women, 50 of whom had urinary symptoms (frequency of urination or dysuria, or both), and who were attending a department of genitourinary medicine, were investigated. The urinary symptoms were associated both with pyuria and the isolation of undoubted pathogens from midstream urine (MSU) specimens. No associations were found between urinary symptoms and the isolation of Neisseria gonorrhoeae or Chlamydia trachomatis from the urethra or cervix; the recovery of Mycoplasma hominis from the urethra, cervix, or MSU; the recovery of Trichomonas vaginalis or Candida albicans from the vagina; or the presence of bacterial vaginosis. Urethral leucocytosis was associated with the isolation of T vaginalis but not with the recovery of N gonorrhoeae, C trachomatis, C albicans, or urinary pathogens. Pyuria was associated with the isolation of urinary pathogens and with the presence of trichomoniasis; it was not associated with the recovery of C trachomatis or M hominis.
对256名未经挑选的女性进行了调查，她们前往泌尿生殖医学科就诊，其中50名有泌尿症状（尿频或排尿困难，或两者皆有）。泌尿症状与脓尿以及从清洁中段尿（MSU）标本中分离出明确的病原体有关。在泌尿症状与从尿道或宫颈中分离出淋病奈瑟菌或沙眼衣原体、从尿道、宫颈或MSU中分离出人型支原体、从阴道中分离出阴道毛滴虫或白色念珠菌、或细菌性阴道病的存在之间未发现关联。尿道白细胞增多与阴道毛滴虫的分离有关，但与淋病奈瑟菌、沙眼衣原体、白色念珠菌或泌尿病原体的检出无关。脓尿与泌尿病原体的分离以及滴虫病的存在有关；与沙眼衣原体或人型支原体的检出无关。
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