Nikonov A P, Ankirskaia A S, Nisilevich V F
Akush Ginekol (Mosk). 1993(3):20-3.
The rate of genital Mycoplasma isolation from the uterine cavity was studied in 147 puerperae (80 ones with a normal course of the puerperium and 67 with acute postpartum endometritis). Mycoplasma were isolated from the metroaspirate in 11.3% of puerperae in whom the postpartum period ran a normal course; M. urealyticum were found in 8.8% and M. hominis in 2.5% of cases. In endometritis Mycoplasma were isolated from the infection focus 2.5 times more often, i.e. from 28.4% of patients with postpartum endometritis (M. urealyticum were detected in 9.0% and M. hominis in 19.4% of cases). Mycoplasma were the sole agents of endometritis in 9.0% of patients. Hysteroscopic and morphologic studies helped verify the contribution of genital Mycoplasma to the development of acute postpartum endometritis in 19.4% of the patients. Therefore, virtually every fifth patient with postpartum endometritis was in need of purposeful antimycoplasma therapy with tetracycline.
对147例产妇（80例产褥期正常，67例患有急性产后子宫内膜炎）宫腔内生殖道支原体分离率进行了研究。在产褥期正常的产妇中，11.3%的人从子宫吸出物中分离出支原体；解脲脲原体在8.8%的病例中被发现，人型支原体在2.5%的病例中被发现。在子宫内膜炎患者中，从感染灶分离出支原体的频率高出2.5倍，即28.4%的产后子宫内膜炎患者（解脲脲原体在9.0%的病例中被检测到，人型支原体在19.4%的病例中被检测到）。支原体是9.0%患者子宫内膜炎的唯一病原体。宫腔镜检查和形态学研究有助于证实，在19.4%的患者中，生殖道支原体对急性产后子宫内膜炎的发生有影响。因此，实际上每五例产后子宫内膜炎患者中就有一例需要用四环素进行有针对性的抗支原体治疗。
