Czerwenka K, Heuss F, Hosmann J, Manavi M, Jelincic D, Kubista E
1st Department of Gynecology and Obstetrics, University of Vienna, Austria.
Acta Obstet Gynecol Scand. 1994 Oct;73(9):711-5. doi: 10.3109/00016349409029409.
Between July and November 1991, 32 women (mean age 24.8 years) were examined laparoscopically in our department for suspected tubal sterility. All women had smears taken from cervix, vagina, and urethra, and all were negative regarding an infection with Chlamydia trachomatis. All women had open fallopian tubes, however, with inflammatory changes that varied in degree. Fifteen women reported pains and were classified as PID (pelvis inflammatory disease)-positive, as compared to the PID-negative group of 17 women without pain. In the group of the 15 PID-positive women, we could detect Chlamydia trachomatis in the form of salpingitis in 11 cases in the direct demonstration of the infectious agent. IgA antibodies were detected in the serum of all of these women, in 12 of them IgA + IgG antibodies. In the group of the 17 PID-negative women, three were positive in the direct detection of the infectious agent, and IgA and/or IgG antibodies were detected in five cases. 38% of the women in the PID-positive group and 68% in the PID-negative group conceived within a period of one year after having completed a treatment with antibiotics.
1991年7月至11月期间，我院对32名怀疑输卵管性不孕的女性进行了腹腔镜检查（平均年龄24.8岁）。所有女性均采集了宫颈、阴道和尿道涂片，沙眼衣原体感染检测结果均为阴性。所有女性的输卵管均通畅，但有不同程度的炎症改变。15名女性自述有疼痛症状，被归类为盆腔炎（PID）阳性，与之相对的是17名无疼痛症状的女性组成的PID阴性组。在15名PID阳性女性组中，通过病原体直接检测，在11例中发现了沙眼衣原体引起的输卵管炎。所有这些女性的血清中均检测到IgA抗体，其中12例同时检测到IgA + IgG抗体。在17名PID阴性女性组中，3例病原体直接检测呈阳性，5例检测到IgA和/或IgG抗体。PID阳性组中38%的女性和PID阴性组中68%的女性在完成抗生素治疗后的一年内受孕。
