Cromer B A, Heald F P
Department of Pediatrics, University of Maryland Hospital, Baltimore.
Sex Transm Dis. 1987 Jul-Sep;14(3):125-9. doi: 10.1097/00007435-198707000-00001.
The purpose of this study was to determine whether selected clinical features can distinguish salpingitis associated with endocervical Neisseria gonorrhoeae from that caused by Chlamydia trachomatis in black, inner-city adolescents. We reviewed retrospectively the charts of teenagers presenting to a university hospital outpatient department between January 1982 and January 1984 who were diagnosed as having salpingitis. We included all teenagers who presented with a history of low abdominal pain plus (1) either cervical motion tenderness (n = 15), adnexal tenderness (n = 13), or both (n = 57); and (2) either cervical cultures positive for N. gonorrhoeae and negative for C. trachomatis (n = 31) or cervical cultures negative for N. gonorrhoeae and positive for C. trachomatis (n = 54). Discriminant analysis indicated that the presence of breakthrough vaginal bleeding (standard regression coefficient [SRC] = 0.301; P = 0.023), current usage of oral contraception (SRC = 0.408; P = 0.009), and an elevated erythrocyte sedimentation rate (SRC = 0.522; P = 0.0002) were significantly more often related to the presence of endocervical C. trachomatis. However, we found no significant differences between the two groups for other variables that have been described as distinguishing features (i.e., duration of pain, fever, and leukocyte count).
本研究的目的是确定在市中心区的黑人青少年中，某些临床特征能否区分由宫颈淋病奈瑟菌引起的输卵管炎和沙眼衣原体引起的输卵管炎。我们回顾性分析了1982年1月至1984年1月到大学医院门诊部就诊且被诊断为输卵管炎的青少年病历。我们纳入了所有有下腹部疼痛病史且伴有以下情况的青少年：（1）宫颈举痛（n = 15）、附件压痛（n = 13）或两者皆有（n = 57）；（2）宫颈培养淋病奈瑟菌阳性且沙眼衣原体阴性（n = 31）或宫颈培养淋病奈瑟菌阴性且沙眼衣原体阳性（n = 54）。判别分析表明，突破性阴道出血的出现（标准回归系数[SRC]=0.301；P = 0.023）、当前口服避孕药的使用（SRC = 0.408；P = 0.009）以及红细胞沉降率升高（SRC = 0.522；P = 0.0002）与宫颈沙眼衣原体感染的存在显著相关。然而，我们发现两组在其他被描述为鉴别特征的变量（即疼痛持续时间、发热和白细胞计数）上没有显著差异。
