Jones R B, Mammel J B, Shepard M K, Fisher R R
Am J Obstet Gynecol. 1986 Jul;155(1):35-9. doi: 10.1016/0002-9378(86)90073-6.
Chlamydia trachomatis is the most common sexually transmitted disease in Western Society today and is a major cause of salpingitis and tubal infertility. However, the frequency with which it produces upper genital tract infection in asymptomatic women has not been determined. Endometrial, endocervical, and urethral cultures for C. trachomatis were obtained from 60 women who were at risk for chlamydial infection but who did not have evidence of endometritis or salpingitis on physical examination. Chlamydia was isolated from the lower genitourinary tract in 26 (43%) and from the endometrium in 12 (20%). Thus 12 of 29 (41%) women infected with C. trachomatis had endometrial infections. Upper genital infections appear to be common in women at risk for chlamydial infection, and spread to the upper tract may occur shortly after the infection is acquired.
沙眼衣原体是当今西方社会最常见的性传播疾病，是输卵管炎和输卵管性不孕的主要原因。然而，它在无症状女性中引起上生殖道感染的频率尚未确定。从60名有衣原体感染风险但体格检查无子宫内膜炎或输卵管炎证据的女性中获取了沙眼衣原体的子宫内膜、宫颈管和尿道培养物。26例（43%）在下泌尿生殖道分离出衣原体，12例（20%）在子宫内膜分离出衣原体。因此，29例感染沙眼衣原体的女性中有12例（41%）有子宫内膜感染。上生殖道感染在有衣原体感染风险的女性中似乎很常见，感染后不久可能就会扩散到上生殖道。
