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目的观察非淋菌性宫颈炎单纯解脲脲原体(UU)感染的治疗效果。方法回顾性分析157例解脲脲原体感染宫颈炎患者的宫颈管分泌物支原体培养、药物敏感试验结果及治疗情况。结果 157例患者首次给予阿奇霉素、强力霉素、聚维酮碘凝胶三药先后口服及外用治愈129例(82.17%);28例复查UU阳性者予克拉霉素、芦氟沙星同时口服治疗,又治愈21例,2次治愈率为95.54%;第3次UU培养+药敏试验,进行个体化再治疗治愈4例,3次治愈率为98.09%,疗效较满意。结论对解脲脲原体感染宫颈炎的患者应予两种或三种药物联合治疗,应根据药敏结果选择抗生素,对UU的进一步分型是判断感染与携带的关键。
Objective To observe the therapeutic effect of Ureaplasma urealyticum (UU) infection in non-gonococcal cervicitis. Methods A retrospective analysis of 157 cases of Ureaplasma urealyticum infection in patients with cervical cervicitis secretions mycoplasma culture, drug sensitivity test results and treatment. Results 157 patients were treated with azithromycin, doxycycline and povidone-iodine gel for the first time in 129 cases (82.17%), followed by oral treatment with clorazinum , And cured 21 cases, the second cure rate was 95.54%; the third UU culture + drug susceptibility test, 4 cases of individualized re-treatment and cure, the cure rate of 3 was 98.09%, the effect is more satisfactory. Conclusion Ureaplasma urealyticum infection in patients with cervicitis should be treated with two or three drugs, antibiotics should be selected according to the drug susceptibility results, the further classification of UU is to determine the key to infection and carry.