Sweet R L, Draper D L, Schachter J, James J, Hadley W K, Brooks G F
Am J Obstet Gynecol. 1980 Dec 1;138(7 Pt 2):985-9. doi: 10.1016/0002-9378(80)91093-5.
Acute salpingitis is a polymicrobial disease. Neisseria gonorrhoeae and anaerobic gram-positive cocci were the predominant microorganisms isolated from the fallopian tubes of salpingitis patients. Gonococci were isolated from the fallopian tubes in eight of 35 (23%) patients; anaerobic bacteria were recovered from 10 of 35 (28.5%). Although Chlamydia trachomatis was not recovered from the fallopian tube exudate, there was abundant serologic evidence of chlamydial infection in the salpingitis patients. Twenty-three percent of patients with paired sera had a fourfold rise in IgM and IgG titer, which was consistent with systemic chlamydial infection. Comparison of cultures obtained via laparoscopy and culdocentesis suggested that culdocentesis is not an accurate reflection of the microbial milieu in the fallopian tube.
急性输卵管炎是一种多微生物感染性疾病。淋病奈瑟菌和厌氧革兰氏阳性球菌是从输卵管炎患者的输卵管中分离出的主要微生物。在35例患者中的8例（23%）输卵管中分离出了淋球菌；35例中的10例（28.5%）分离出了厌氧菌。虽然未从输卵管渗出物中分离出沙眼衣原体，但输卵管炎患者有大量衣原体感染的血清学证据。23%的双份血清患者IgM和IgG滴度有四倍升高，这与全身性衣原体感染一致。通过腹腔镜检查和后穹窿穿刺所获得的培养物比较表明，后穹窿穿刺不能准确反映输卵管中的微生物环境。
