第一军医大学学报2001，Vol.21Issue(4)：285-287,3.
经宫颈感染细菌及沙眼衣原体所致不孕的临床观察
Clinical observation of infertility caused by pelvic bacterial or Chlamydial trachomatis infection
全松 1杨晓燕 1徐静萍 1张军 1田京梅 1余艳红1
作者信息
摘要
Abstract
Objective To investigate the different clinical and laparoscopic characteristics of infertility caused by pelvic bacterial infection in comparison with that caused by Chlamydial trachomatis. Methods Infertile patients with pelvic bacterial infection or with Chlamydial trachomatis infection were enrolled in this study, and in each group, 50 subjects were randomly selected for clinical observation and laparoscopic examination. Results In the infertile patients with pelvic bacterial infection, 24.4% had a history of uterine problems that required intra-uterine operation, and 43.3% and 78.6% experienced pelvic inflammatory diseases and lower abdominal pain respectively; these 3 problems, in contrast, were found to occur in 6.2%, 8.9% and 37.5% infertile patients with Chlamydial trachomatis infection, respectively (P<0.05). Laparoscopically, 35.7%, 14.4% and 17.4% bacterium-infected patients suffered pelvic adhesion, oviductal swelling or hydrosalpinx, and partial obstruction of the oviducts, respectively, which compromised 14.2%, 27.9% and 39.6% patients with Chlamydial trachomatis infection (P<0.05). In terms of primary and secondary infertility, the occurrence rates were 30.3% and 69.7% in bacterium-infected group vs 52.7% and 47.3% in the other (P<0.05). Conclusions The clinical manifestations of pelvic bacterial infection are typical with a history of intra-oviductal operation, episodes of acute pelvic inflammation and lower abdominal pain; laparoscopic examination reveals pelvic adhesion and oviductal damages. Pelvic infection with chlamydial trachomatis does not present typical features and laparoscopically shows oviductal lesions, liable to result in infertility, and its diagnosis and early treatment are difficult.关键词
不育症,女性/细菌感染/衣原体感染/腹腔镜术分类
医药卫生引用本文复制引用
全松,杨晓燕,徐静萍,张军,田京梅,余艳红..经宫颈感染细菌及沙眼衣原体所致不孕的临床观察[J].第一军医大学学报,2001,21(4):285-287,3.
