Terskikh I I, Dzhavad-Zade M D, Kakhramanov T B, Popova O M, Mailova-Kasumova A D
Vopr Virusol. 1977 Jul-Aug(4):484-8.
For the elucidation of the role of chlamydial infection in pathological pregnancies, serological examination by the CFT with group-specific and species ornithosis antigen was carried out on 723 blood serum specimens from women with obstetrical pathology, 124 specimens from patients with various chronic gynecological diseases and 124 control blood serum specimens from women with nromal pregnancy and favourable obstetrical anamnesis. The complement-fixing antibody (CF) was detected in 72 (9.9%) serum specimens from women with obstetrical pathology and chronic gynecological diseases. No CF antibody was found in control sera. Negative results of the CFT were obtained with species ornithosis antigen in all sera. In parallel examinations of the blood serum specimens from women with obstetrical and gynecological pathology by the CFT and intradermal test, correlation of positive results was demonstrated in 62.5% of the patients. Among the women with positive reactions for chlamydial infection, in 52.8% thee pregnancy was pathological. Among 52 sero-positive pregnant women the death of the fetus was observed in the perinatal period in 21.2%. Among 111 babies born alive after previous pregnancies 55 babies (49.5%) died at the age under 1 year. Thus, chlamydial infection may possibly have causative relation to pathological pregnancy, death of the fetus in the perinatal period, and death of the babies under 1 year.
为阐明衣原体感染在病理性妊娠中的作用,采用嗜异性凝集试验(CFT),使用群特异性和鸟疫菌种抗原,对723例患有产科疾病的孕妇血清标本、124例患有各种慢性妇科疾病的患者标本以及124例妊娠正常且产科病史良好的孕妇对照血清标本进行了血清学检查。在患有产科疾病和慢性妇科疾病的妇女的72份(9.9%)血清标本中检测到补体结合抗体(CF)。对照血清中未发现CF抗体。所有血清用鸟疫菌种抗原进行CFT检测均呈阴性结果。通过CFT和皮内试验对患有产科和妇科疾病的妇女的血清标本进行平行检测,结果显示62.5%的患者结果呈正相关。在衣原体感染反应呈阳性的妇女中,52.8%的妊娠为病理性妊娠。在52例血清阳性的孕妇中,围产期观察到21.2%的胎儿死亡。在之前怀孕后存活的111名婴儿中,55名婴儿(49.5%)在1岁以下死亡。因此,衣原体感染可能与病理性妊娠、围产期胎儿死亡以及1岁以下婴儿死亡存在因果关系。