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目的初步探讨女性生殖道解脲支原体(Uu)和人型支原体(Mh)检出率与阴道分泌物清洁度的关系,为临床诊断提供参考依据。方法回顾性统计分析2010年1—12月送检的1 236份女性生殖道分泌物标本支原体培养和白带常规检测的结果。结果①1 236例标本中,Uu阳性率为45.5%,Hh阳性率为7.5%,Uu+Mh阳性率为6.4%;②Uu阳性率在清洁度Ⅱ、Ⅲ、Ⅳ度之间差异无统计学意义(χ2=2.274,P>0.05)。Mh和Uu+Mh的阳性率从清洁度Ⅱ到Ⅳ度有增加趋势,在Ⅲ与Ⅱ度间和Ⅳ与Ⅱ度间的差异均有统计学意义(χ2=3.78、11.6,P<0.05;χ2=5.265、10.72,P<0.05);Ⅳ与Ⅲ度间,Mh阳性率差异具有统计学意义(χ2=4.195,P<0.05),而Uu+Mh阳性率差异则无统计学意义(χ2=2.517,P>0.01)。结论女性生殖道分离的支原体主要以Uu为主;Uu阳性率在不同的阴道分泌物清洁度之间的差异无统计学意义,而Mh阳性率随清洁度增加有增高趋势。
Objective To investigate the relationship between the prevalence of Uu and Mh in female genital tract and the cleanliness of vaginal discharge, and to provide a reference for clinical diagnosis. Methods The retrospective statistics were used to analyze the results of mycoplasma culture and vaginal discharge tests of 1 236 female genital secretions collected from January to December in 2010. Results ① The positive rate of Uu was 45.5%, the positive rate of Hh was 7.5% and the positive rate of Uu + Mh was 6.4% in 1 236 samples. ② There was no significant difference in the positive rate of Uu between cleanliness Ⅱ, Ⅲ and Ⅳ χ2 = 2.274, P> 0.05). The positive rates of Mh and Uu + Mh tended to increase from the cleanliness level II to IV, and the differences were statistically significant between levels III and II and between IV and II (χ2 = 3.78, 11.6, P <0.05; χ2 (Χ2 = 4.195, P <0.05), while the positive rate of Uu + Mh was not statistically significant (χ2 = 2.517, P <0.05) , P> 0.01). Conclusions Uu is the main mycoplasma isolated from the female reproductive tract. The positive rate of Uu has no significant difference between the different vaginal secretions, while the positive rate of Mh increases with the increase of the cleanliness.