Yli-Kerttula U I, Selander K K, Terho P E, Kataja J M, Vilppula A H
Clin Rheumatol. 1984 Jun;3(2):155-62. doi: 10.1007/BF02030748.
To study the nature of urogenital involvements in female uro-arthritis 73 consecutive patients with arthritis concomitant with any type of urogenital involvement were examined. The controls were 281 females interviewed only and an additional 83 also gynaecologically examined. A history of cervicitis, salpingitis, dysuria and pyelocystitis/-nephritis occurred significantly more often in patients than in controls. Clinical gynaecological examination revealed cervicitis in 26,8% (19/71) of the patients and 15.7% (13/83) of the controls (p less than 0.05). Aseptic pyuria was definitely more frequent in patients (19/73) than in controls (0/63). The isolation of Chlamydia trachomatis was positive in 14.7% (10/68) of the patients and 3.7% (3/81) of the controls (p less than 0.025). Serological evidence (titre greater than or equal to 64) for chlamydial infection was obtained in 53.4% (39/73) of the patients and 18.2% (14/77) of the controls (p less than 0.00025). The results indicate the importance of urogenital history and findings in females with rheumatic attacks. The most prominent and persistent urogenital involvements were cervicitis, salpingitis, pyuria and dysuria. Chlamydial infection appears in any case to be responsible for part of these involvements (42/73).
为研究女性尿道关节炎中泌尿生殖系统受累的性质，我们对73例伴有任何类型泌尿生殖系统受累的关节炎患者进行了连续检查。对照组为281名仅接受访谈的女性，另有83名女性还接受了妇科检查。宫颈炎、输卵管炎、排尿困难和肾盂膀胱炎/肾炎的病史在患者中出现的频率明显高于对照组。临床妇科检查发现，26.8%（19/71）的患者患有宫颈炎，对照组为15.7%（13/83）（p<0.05）。无菌性脓尿在患者（19/73）中肯定比对照组（0/63）更常见。沙眼衣原体分离在14.7%（10/68）的患者中呈阳性，对照组为3.7%（3/81）（p<0.025）。53.4%（39/73）的患者获得了衣原体感染的血清学证据（滴度大于或等于64），对照组为18.2%（14/77）（p<0.00025）。结果表明泌尿生殖系统病史和检查结果对患有风湿性发作的女性很重要。最突出和持续的泌尿生殖系统受累是宫颈炎、输卵管炎、脓尿和排尿困难。无论如何，衣原体感染似乎是这些受累情况的一部分原因（42/73）。
