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马睿,,,,,李怀芳,叶鸿,等.盆腔炎发生与解脲脲原体感染的关系[J].同济大学学报（医学版）,2010,31(3):77-79. [点击复制]
MA Rui,LI Huai-fang,YE Hong,et al.Relationship between pelvic inflammatory disease and Ureaplasma urealyticum infection[J].同济大学学报（医学版）,2010,31(3):77-79. [点击复制]

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盆腔炎发生与解脲脲原体感染的关系
马睿¹,,,,,李怀芳¹,叶鸿²,徐燕萍²,叶元康²
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摘要:

目的了解盆腔炎患者解脲脲原体的感染情况及解脲脲原体感染患者同时合并其他病原微生物的感染状况，指导临床进行正确的诊断和治疗。方法随机选择门诊确诊为盆腔炎的患者210例，采集盆腔炎患者的宫颈分泌物，对解脲脲原体进行分离培养．并对合并感染情况进行统计分析。结果210例中有104例解脲脲原体阳性患者，合并其他病原微生物感染者96例（92．31％），其中19～29岁和30～39岁两年龄组的合并感染率最高，分别为49．04％和40．38％；合并其他病原微生物感染最多的是表皮葡萄球菌37株（35．58％），其次分别是金黄色葡萄球菌24株（23．08％）、白色念珠菌15株（14．42％）。结论盆腔炎患者的解脲脲原体感染率较高，且年轻女性又是盆腔炎的高友人群。本研究结果提示，解脲脲原体感染患者合并其他病原生物感染情况相当严重。对解脲脲原体感染患者，进行全面系统的病原生物检测，对于预防和有效治疗盆腔炎十分重要。

关键词: 解脲脲原体盆腔炎感染

DOI：10.3969/j. i s sn1008 - 0392.2010.03.019

投稿时间：2010-01-31

基金项目:

Relationship between pelvic inflammatory disease and Ureaplasma urealyticum infection

MA Rui¹,LI Huai-fang¹,YE Hong²,XU Yan-pin²,YE Yuan-kang²

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Abstract:

Objective To study the infection of Ureaplasma urealyticum（Uu） in patients with pelvic inflammatory disease and other pathogenic microorganism infections in patients with Ureaplasma urealyticum in order to instruct the diagnose and treatment. Methods Two hundred and ten patients with pelvic inflammatory diseases were randomly chosen. Excretion of cervix in patients with pelvic inflammatory disease were collected. Uu were isolated, and concurrent infection were analyzed. Results In these patients, 104 were Uu positive ones, and 96 cases（92.31% ） were concurrent infections with bacteria and Monilia. The age between 19-29 and 30-39 had the highest rate of concurrent infection, which were 49.04% and 40.38% respectively. Concurrent infection with the most common bacteria was Staphylococcus epidermidis,37 （35.58%）; secondly was Staphylococcus aureus, 24（23.08%）; Candida albicans, 15（14.42%）. Conclusion The occurrence of Uu in patients with pelvic inflammation, especially in young female is higher. The situation of concurrent infections is serious. The patients of pelvic inflammations should be tested for Uu, bacteria and Monilia. It is useful to cure and prevent the disease.

Key words: Ureaplasma urealyticum pelvic inflammatory disease concurrent infections