Stone S C, de la Maza L M, Peterson E M
Fertil Steril. 1986 Jul;46(1):61-5. doi: 10.1016/s0015-0282(16)49458-6.
To assess the risk of introducing microorganisms into the peritoneal cavity during intracervical or intrauterine insemination, we cultured the cervix and semen from 19 couples before insemination and the peritoneal fluid from the female partner after insemination. The peritoneal cultures taken before hydrotubation grew organisms in one of ten intracervical inseminations and five of the nine intrauterine inseminations (P less than 0.05). In four of the five positive peritoneal cultures from the intrauterine group, the organism was also cultured from the semen specimen obtained before insemination and not from the cervical sample. Therefore, intrauterine insemination appears to increase the risk of introducing microorganisms into the upper genital tract and the peritoneal cavity. The clinical significance of this finding remains to be established.
为评估宫颈内或子宫内授精过程中将微生物引入腹腔的风险，我们在授精前培养了19对夫妇的宫颈和精液，并在授精后培养了女性伴侣的腹腔液。在输卵管通液术前采集的腹腔培养物中，10次宫颈内授精中有1次培养出微生物，9次子宫内授精中有5次培养出微生物（P<0.05）。在子宫内授精组的5次阳性腹腔培养物中，有4次在授精前采集的精液标本中也培养出了该微生物，而宫颈样本中未培养出。因此，子宫内授精似乎会增加将微生物引入上生殖道和腹腔的风险。这一发现的临床意义尚待确定。
