首页> 中文期刊> 《现代医院》 >60例不孕患者生殖道支原体感染与输卵管阻塞情况分析

60例不孕患者生殖道支原体感染与输卵管阻塞情况分析

         

摘要

Objective To investigate the relationship between women's reproductive tract mycoplasma infec-tion and tubal obstruction effusion .Methods A retrospective analysis of 60 cases infertility infertility clinic patients and healthy control were detected in our hospital from Junuary 2013 to December 2014.The cervical secretion sam-ples were used for detection of Mycoplasma ( leucorrhea , Ureaplasma urealyticum ( Uu ) and Mycoplasma hominis ( Mh) lipiodol angiography and fallopian tube , and two groups of patients with mycoplasma infection and tubal cir-cumstance tube obstruction were compared .Results The two groups infertile patients with Cervical Mycoplasma ex-amination with Uu positive were 41 cases, accounting for 68.3%of the patients in the control group .Uu was positive in 16 cases, accounting for 26.6%; Infertile patients with Uu +Mh positive were 15 cases, accounting for 25%, while the control group were no cases were positive for Uu +Mh;Infertility group patients detected negative for Myco-plasma in 4 cases, accounting for 6.7%, while the control group were negative for the detection of Mycoplasma in 44 cases, accounting for 73.3%.The results showed that infertility group and Uu in patients with Mh infection was high-er than that of the control group, and the difference is statistically significant (p<0.05).The infertile patients with fallopian tube patency were 12 cases, accounting for 20%; The control group of tubal patency were 33 cases, ac-counting for 55%, and it was accounted for 19.3% of 21 cases of tubal infertility group , obstruction.The control group of 13 cases of tubal obstruction patients , accounting for 21.7%;27 cases had complete obstruction of fallopian tube infertility patients group , accounting for 45.0%, and the control group had complete tubal obstruction in 14 ca-ses, accounting for 23.3%.The results showed that infertile patients with fallopian tube obstruction was significantly higher than that in the control group , and the difference was statistically significant (p<0.05).Conclusion Infer-tility women with genital tract mycoplasma infection occurrence are closely related .We should make a comprehensive inspection to discover occult infection of Mycoplasma timely and treat actively in women with infertility treatment .%目的:探讨妇女生殖道支原体感染与输卵管阻塞积液之间的关系。方法回顾性分析2013年1月~2014年12月在从化市街口街社区卫生服务中心就诊的60例不孕患者(不孕组)及有生殖能力女性患者60例(对照组),取宫颈分泌物检测白带常规、解脲脲原体( Uu)、人型支原体( Mh)及行输卵管碘油造影术,比较两组患者支原体感染情况与输卵管阻塞情况。结果①两组患者宫颈分泌物支原体检查结果,不孕组Uu阳性41例,占68.3%,对照组Uu阳性16例,占26.6%;不孕组Uu+Mh阳性15例,占25%,而对照组无Uu+Mh阳性患者;不孕组支原体检测阴性为4例,占6.7%,而对照组支原体检测阴性为44例,占73.3%。不孕组Uu及Mh的感染率较对照组相比更高,且差异具有统计学意义(p<0.05)。②不孕组输卵管通畅12例,占20%,对照组输卵管通畅33例,占55%;不孕组输卵管不完全梗阻21例,占19.3%,对照组不完全输卵管梗阻13例,占21.7%;不孕组输卵管完全梗阻27例,占45.0%;对照组输卵管完全梗阻14例,占23.3%;不孕组患者输卵管梗阻率显著高于对照组,差异有统计学意义(p<0.05)。结论女性生殖道支原体感染与妇女不孕症的发生关系密切,在对不孕症妇女治疗时,应做相关检查,及时发现隐匿性支原体感染并给予积极治疗。

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