Yli-Kerttula U I, Kataja J M, Vilppula A H
Clin Rheumatol. 1984 Jun;3(2):169-72. doi: 10.1007/BF02030750.
To compare anamnestic cervicitis and salpingitis as a relative risk for uro-arthritis the medical history of 60 consecutive females with uro-arthritis was compared with that of 311 interviewed controls. Salpingitis was revealed to be a relative risk factor of 3.2 as compared to cervicitis 1.4 in connection with uro-arthritis. HLA-B27 was tested in the 60 patients and in an additional 7 females with uro-arthritis, all of whom had a history of salpingitis. HLA-B27 was positive in 42% (28/67). There were no significant differences between those with or without cervicitis or salpingitis or both. Salpingitis could thus as justifiably be accepted as a diagnostic criterion for RS as cervicitis. These findings and clinical observations, including comprehensive histories of the patients concerned, serve as a basis for our hypothesis of rheumatic salpingitis. Further prospective and co-operative investigations will be needed to confirm or disprove this hypothesis.
为了比较既往宫颈炎和输卵管炎作为尿关节炎的相对风险，将连续60例尿关节炎女性的病史与311名接受访谈的对照者的病史进行了比较。结果显示，与宫颈炎（与尿关节炎相关的相对风险为1.4）相比，输卵管炎是相对风险为3.2的风险因素。对60例患者以及另外7例有输卵管炎病史的尿关节炎女性进行了HLA - B27检测。HLA - B27阳性率为42%（28/67）。有或无宫颈炎、输卵管炎或两者皆有的患者之间无显著差异。因此，输卵管炎与宫颈炎一样，有理由被接受为反应性关节炎的诊断标准。这些发现以及临床观察，包括相关患者的全面病史，为我们关于风湿性输卵管炎的假说提供了依据。需要进一步的前瞻性和合作性研究来证实或反驳这一假说。
