Polk B F, Kasper D L, Shapiro M, Tager I B, Schoenbaum S C, Goldstein P R
Obstet Gynecol. 1980 Feb;55(2):163-6.
To determine the role of Bacteroides fragilis in the development of infectious complications following hysterectomy, serum antibody to the capsular polysaccharide was measured with a radioactive antigen-binding assay in 53 women before and several days after surgery. Patients with postoperative abscess formation had a significantly greater mean increase in antibody concentration (4.91 micrograms/ml) than those without complications (0.62 micrograms/ml), those with wound infection (1.90 micrograms/ml), those with pelvic cellulitis (0.63 micrograms/ml), and those with febrile morbidity (0.95 micrograms/ml). There were no significant differences among the latter 4 groups. The authors conclude that B fragilis may play an important role in abscess formation following hysterectomy, but is infrequently involved in other infectious complications of this procedure.
为确定脆弱拟杆菌在子宫切除术后感染性并发症发生过程中的作用，采用放射性抗原结合试验对53名女性在手术前及术后数天检测其抗荚膜多糖的血清抗体。术后形成脓肿的患者抗体浓度平均升高幅度（4.91微克/毫升）显著大于无并发症患者（0.62微克/毫升）、伤口感染患者（1.90微克/毫升）、盆腔蜂窝织炎患者（0.63微克/毫升）及发热性疾病患者（0.95微克/毫升）。后4组之间无显著差异。作者得出结论，脆弱拟杆菌可能在子宫切除术后脓肿形成中起重要作用，但很少参与该手术的其他感染性并发症。
