Mårdh P A, Møller B R, Ingerselv H J, Nüssler E, Weström L, Wølner-Hanssen P
Br J Vener Dis. 1981 Jun;57(3):191-5. doi: 10.1136/sti.57.3.191.
Chlamydia trachomatis was found to be the aetiological agent of endometritis in three women with concomitant signs of salpingitis. All patients developed a significant antibody response to the organism. Chlamydia were recovered from aspirated uterine contents of two patients and darkfield examination of histological sections showed chlamydial inclusions in endometrial cells in one patient. Thus, C trachomatis can be recovered from the endometrium of patients in whom the cervical culture result is negative. In one patient curettage showed endometritis with a characteristic plasma-cell infiltration. The occurrence of chlamydial endometritis may explain why irregular bleeding is a common finding in patients with salpingitis. It also suggests a canalicular spread of chlamydia from the cervix to the Fallopian tubes.
在三名伴有输卵管炎体征的女性中，发现沙眼衣原体是子宫内膜炎的病原体。所有患者对该病原体均产生了显著的抗体反应。从两名患者吸出的子宫内容物中分离出了衣原体，对一名患者的组织切片进行暗视野检查，发现子宫内膜细胞中有衣原体包涵体。因此，在宫颈培养结果为阴性的患者子宫内膜中也可分离出沙眼衣原体。在一名患者中，刮宫显示为具有特征性浆细胞浸润的子宫内膜炎。衣原体性子宫内膜炎的发生可能解释了为什么不规则出血在输卵管炎患者中是常见表现。这也提示衣原体可能经小管从宫颈蔓延至输卵管。
