原发不孕和继发不育妇女宫颈细胞衣原体抗原的测定

本文报道了使用英国CLERVIEW药盒对69例原发不孕妇女,49例继发不育妇女的宫颈细胞沙眼衣原体抗原的检测结果,结果表明:69例原发不孕妇女与49例继发不育妇女宫颈细胞沙眼衣原体感染率分别为18.75%、28.57%.继发不育组阳性率稍高.二者相比经χ~2检验,P>0.05,无显著差异.两组衣原体抗原的病例常伴有较长期的不孕史(5～8年)、反复流产史、盆腔炎、宫外孕以及低体重儿史.她们的子宫输卵管造影结果显示输卵管炎,输卵管粘连,输卵管阻塞率达82.60%.文章提示直接检测宫颈细胞上的衣原体抗原有助于分析鉴别因输卵管因素所致不育.

The Detection of Chlamydia Trachomatis Antigen of Cevical Cell in Women with Primary and Secondary Infertility

69 and 49 Cervical swab samples from primary and secondary females were collcted through CLERVIEW kit for Chlamydia Trachomatis antigen. The results showed that positive rates of Chlamydia Trachomatis antigen were respectively 18. 75% and 28. 57% in two groups. No significant difference was found. The long infertile history, prior pelvic infections, recurrent spontaneous abortion,ectopic pregnancy and low brith weight history were observed in those positive cases. Salpingitis, fallopian tube adhesions and obstruction were observed by hysterosalpingraphy in 82. 60% cases with positive Chlamydia Tracomatis antigen. It is suggested that the direct qualitative detection of Chlamydia Trachomatis antigen in endocervical swab specimens would be helpful in identifying those patients more likely to have tubal factor as a cause of their infertility.