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[云南省三个人群支原体感染的血清学调查]

[Serological survey on mycoplasma infection among three populations in Yunnan Province].

作者信息

Yang H Y, Zhou Z D, Lu H Y

机构信息

Department of Clinical Test, Second Affiliated Hospital, Kunming Medical College.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 1996 Apr;17(2):91-4.

PMID:8758403
Abstract

Mycoplasma infection in both female and male genital tract has attracted attention recently. 636 infertile and sterile cases together with 284 women with IUDs and 113 women with genital inflammatory complications after artificial abortion were detected through indirect hemagglutination test for serological survey on the frequency of ureaplasma urealyticum (Uu) and mycoplasma hominis (Mh) infection. Some of them were detected through isolated culture at the same time. Among the 636 infertile and sterile cases, the results showed that the antibody positive rate to mycoplasma was 26.10%. Among women with IUD, the antibody positive rate was 32.39%. However, the antibody positives rates among women with IUD shorter than three months were significantly higher than those prior to and three to twelve months after insertion of IUD (P < 0.01). Among the 113 women after abortion, the positive rate was 46.02%. The positive rates of the three groups were significantly different from the control group (P < 0.001), and the antibody titers to mycoplasma were significantly higher than that of the control group. It is suggested that mycoplasma infection is one of the important causes for infertility and causing complication of genital inflammatory symptoms after abortion.

摘要

近年来,支原体在男女生殖道的感染已引起关注。通过间接血凝试验对解脲脲原体(Uu)和人型支原体(Mh)感染频率进行血清学调查,检测了636例不孕不育病例、284例带宫内节育器(IUD)的女性以及113例人工流产后有生殖系统炎症并发症的女性。部分病例同时进行了分离培养。在636例不孕不育病例中,结果显示支原体抗体阳性率为26.10%。带IUD的女性中,抗体阳性率为32.39%。然而,IUD放置时间短于3个月的女性抗体阳性率显著高于放置IUD前及放置后3至12个月的女性(P<0.01)。在113例流产后的女性中,阳性率为46.02%。这三组的阳性率与对照组相比差异有统计学意义(P<0.001),且支原体抗体滴度显著高于对照组。提示支原体感染是不孕不育以及流产后发生生殖系统炎症并发症的重要原因之一。

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