桑拿女工人型支原体宫颈感染率及其可能的临床意义

目的调查分析桑拿女工人型支原体宫颈感染率及其可能的临床意义。方法采用女性阴道分泌物革兰染色方法检测阴道毛滴虫、念珠菌和线索细胞，酶联免疫法检测沙眼衣原体，培养法鉴定淋球菌和支原体。结果1030例样本中。人型支原体阳性52例（5％），其中5例为单独人型支原体定植，而47例（90．4％）为混合菌感染，以解脲脲原体为主（30／52，57．7％）。宫颈炎组与非宫颈炎组人型支原体的感染率差异无统计学意义（χ2=0．51，P〉0．05）。7例人型支原体阳性的宫颈炎病例同时混合感染沙眼衣原体或淋球菌，10例人型支原体阳性的非宫颈炎病例同时伴有念珠菌或阴道毛滴虫感染，或细菌性阴道病。结论无论女性是否患宫颈炎，人型支原体均可以定植于宫颈管，但并不是单独引起宫颈炎的病原体。

The Occurrence and Potential Clinical Significance of Cervical Mycoplasma hominis Among Female Workers in Massage Parlours

Objective To investigate the occurrence and potential clinical significance of cervical Mycoplasma hominis among female workers in massage parlours.Methods The pathogens causing sexually transmitted infections were detected. Trichomonas vaginalis,Candida sp. and clue cells were determined by Gram-stained smears from vaginal discharge,Chlamydia trachomatis by ELISA,Neisseria gonorrhoeae and Mycoplasma by culture using cervical swabs.Results From 1030 cases of female workers,52 strains(5%)of M.hominis were isolated,in which 15 were from the cases with cervicitis.5 cases were colonized with M.hominis only,While 47 cases(90.4%)were of multi-infection.M.hominis colonization was most frequently accompanied by Ureaplasma urealyticum,accounting for 57.7% (30/52)cases and showing no significant difference(X2=0.51,P>0.05)between the groups with and without mucopurulent cervicitis.Seven M.hominis cases with mucopurulent cervicitis were co-infected with Chlamydia trachomatis or Neisseria gonorrhoeae,while ten With no mucopurulent cervicitis were co-infected with Candida sp.and Trichomonas vaginalis or accompanied by clue cells. Conclusion Our findings suggests that M.hominis could colonize the cervix,whether the patient suffered from cervicitis or not,but probably does not act as a pathogen of cervicitis alone.