输卵管性不孕症患者应用沙眼衣原体抗原检测的价值分析及对感染预防的效果观察

目的探讨输卵管性不孕症患者应用沙眼衣原体抗原检测的价值分析及对感染预防的效果观察。方法选取2016年1月~2017年10月我院收治的输卵管性不孕症患者80例,作为研究组,选取来我院子宫输卵管造影提示输卵管通畅的80例患者,作为对照组。研究组患者应用沙眼衣原体抗原检测,观察相关指标并详细记录患者的临床诊断效果以及感染预防的效果。结果诊断结果,研究组共诊断出77例,诊断符合率为96.2%,其中输卵管堵塞、生殖道感染、输卵管积液、急性输卵管炎诊断符合率分别为100.0%、96.1%、96.6%、93.8%;研究组沙眼衣原体抗原检测的阳性率为82.5%(66/80),对照组沙眼衣原体抗原检测的阳性率为15.0%(12/80),研究组患者的阳性率明显高于对照组(P0.05);检测结果方面,阳性患者研究组流产早产、死胎死产、宫外孕等症状的发生率明显高;感染预防方面,研究组患者各个时间段感染发生的人数,随着时间的增长,感染的人数的增加量逐渐减少。结论在输卵管不孕症患者中应用沙眼衣原体抗原检测,可以达到较高的临床诊断符合率,更早的发现患者输卵管性疾病,并且能够及时的采取治疗的措施,降低患者的术后感染发生率,临床上应当进一步推广应用。

Value analysis of chlamydia trachomatis antigen detection in patients with iubal infertility and its effect on prevention of infection

Objective To investigate the value of Chlamydia trachomatis antigen in patients with tubal infertility and its effect on the prevention of infection. Methods 80 patients with tubal infertility who were admitted in our hospital from January 2016 to October 2017 were selected as the study group and 80 patients with tubal patency by hysterosalpingography in our hospital were selected as the control group. The study group underwent Chlamydia trachomatis antigen detection.The relevant indicators were observed and clinical diagnostic effect and the effect of infection prevention of patients was recorded in detail. Results The diagnostic results showed that there were 77 cases diagnosed in the study group, and the diagnostic coincidence rate was 96.2%, of which the diagnostic coincidence rates of tubal blockage, genital tract infection, tubal effusion, acute salpingitis were 100.0%, 96.1%, 96.6%, 93.8%. The positive rate of Chlamydia trachomatis antigen in the study group was 82.5%(66/80). The positive rate of Chlamydia trachomatis antigen in the control group was 15.0%(12/80). The positive rate of the study group was significantly higher than that of the control group (P<0.05). The test results showed that the incidence of abortion, preterm birth, dead fetus,stillbirth, ectopic pregnancy and other symptoms was significantly higher in the positive patients'' study group. In the aspect of infection prevention, the number of patients infected at each time period in the study group gradually reduced with the growth oftime and the increase of number of infected people. Conclusion The detection of Chlamydia trachomatis antigen in patients with tubal infertility can achieve high coincidence rate of clinical diagnosis, earlier detection of tubal disease in patients and timely treatment measures, reduce the incidence of postoperative infection in patients, which should be further applied in clinical.