宫颈糜烂与沙眼衣原体感染的相关性及其治疗

应用聚合酶链反应（ＰＣＲ）技术检测１１９例宫颈糜烂病人的沙眼衣原体（Ｃｔ）感染情况，同时以５２例非宫颈糜烂者做对照检测。并对部分Ｃｔ阳性者分别采用盐酸二甲胺四环素和爱宝疗治疗。结果：宫颈糜烂患者的Ｃｔ阳性率为３２．８％，明显高于对照组的７．５％（Ｐ＜０．０１）。有症状或合并盆腔炎的宫颈糜烂患者Ｃｔ阳性率高。盐酸二甲胺四环素和爱宝疗对宫颈Ｃｔ感染治疗１疗程的有效率分别为１００％和９３．８％，对宫颈糜烂的有效率分别为７１．４％和８１．３％。结果提示：宫颈糜烂患者中Ｃｔ阳性率高于正常人，衣原体的感染是盆腔炎的原因之一；盐酸二甲胺四环素和爱宝疗治疗Ｃｔ感染和宫颈糜烂均有较好疗效。

A Study on the Cervical Erosion and Chlamydia Trachomatis Infection

To study the cervical Ct infection and treatment among the cervical erosion patients cervical Ct was examined from 119 case of cervical erosion patients and 52 cases of non cervical erosion patients with PCR technique. The cervical Ct positive patients were treated with Minocin and Albothyl respectively. Results: The Ct positive rate was 32.8% in the cervical erosion patients group and 7.5%(P<0.01)in the non erosion group. The cervical erosion patients with symptom or with complicated pelvic inflammatory disease showed a high rate of Ct positive. After a course of Minocin and Albothyl treatment the effective rates were 100% and 93.8% respectively for the cervical Ct infection, and 71.4% and 81.3% respectively for the cervical erosion. Conclusions: The Ct infection rate rose up in the cervical erosion patients and the Ct infection might be one of the reasons causing pelvic inflammatory disease. Minocin and Albothyl are both effective for curing Ct infection and cervical erosion.