PDF(920 KB)
PDF(920 KB)
PDF(920 KB)
支原体在女性生殖道感染中的定位
Positioning of mycoplasma in female genital tract infection.
支原体感染在临床上是热点问题,常见支原体为解脲支原体、人型支原体、生殖支原体。对于不同的疾病状态,不同的支原体意义并不相同。解脲支原体可导致尿道炎、绒毛膜羊膜炎,但正常女性阴道携带率非常高,临床意义经常被夸大。生殖支原体可导致宫颈炎、尿道炎、盆腔炎,但我国大部地区未能开展此项检查,故常常被忽视。人型支原体常见于细菌性阴道病及盆腔炎。对于不同的支原体检出,需要根据临床情况区别对待。
Abstract: Mycoplasma infection is a clinically central issue.Common mycoplasma includes Ureaplasma urealyticum, Mycoplasma hominis and Mycoplasma genitalium. Various kinds of mycoplasmas play different roles in each disease states. Ureaplasma Urealyticum can cause urethritis, chorioamnionitis. While its carrier status in normal female vagina is highly spread, the clinical significance of UU is often exaggerated. Mycoplasma genitalium infection can lead to cervicitis, urethritis and pelvic inflammatory disease. But since in most areas of China Mycoplasma genitalium can' t be detected, it’s often overlooked. Mycoplasma hominis is common in bacterial vaginosis and pelvic inflammatory disease. Owing to these facts,when detecting different mycoplasma infections,different clinical situations must be considered.
[1] 刘家驹.医学微生物学(Ⅱ)[M].北京:人民卫生出版社,1991:228-231.
[2] Manhart LE.Mycoplasma genitalium:an emergent sexually transmitted disease? [J].Infect Dis Blin Noreth Am,2013,27(4):779-792.
[3] Kwak DW,Hwang HS, Kwon JY, et al.Co-infection with vaginal Ureaplasma urealyticum and Mycoplasma hominis increases adverse pregnancy outcomes in patients with preterm labor or preterm premature rupture of membranes[J].J Matern FETAL Neonatal Med,2014,27(4):333-337.
[4] 刘朝晖,张淑增,任翊. 解脲支原体在正常人群宫颈的存在情况及分群分型[J].中国实用妇科与产科杂志,2003,3:161-163.
[5] 张帝开,李秀云,覃春容,等. 健康妇女下生殖道解脲脲原体及其分群分型研究[J].中国微生态学杂志,2007,3:288-289.
[6] Carey JC, Blackwelder WC, Nugent RP, et al. Anteparterm culture for Ureaplasma urealyticum are not useful in predicting pregnancy outcome[J]. Am J Obstet Gynecol, 1991,164:728-733.
[7] Eschenbach DA, Nugent RP, Rao AV, et al. A randomized placebo-controlled trial of erythromycin for the treatment of Ureaplasma urealyticum to prevent premature delivery[J]. Am J Obstet Gynecol,1991,164:734-742.
[8] Yoon BH, Chang JW, Romero R. Isolation of Ureaplasma urealyticum from the amniotic cavity and adverse outcome in preterm labor[J]. Obstet Gynecol,1998 ,92(1):77-82.
[9] Keance FE, Thomas BJ, Gilroy CB, et al. The association of Chlamydia trachomatis and Mycoplasma genitalium with non-gonococcal urethritis: observations on heterosexual men and their female partners[J]. Int J STD AIDS, 2000,11(7):435-439.
[10] PrabhakarK, Subramanian S, Thyagarajan SP. Mycoplasma hominis in pelvic inflammatory disease[J]. Indian J Pathol Microbiol,1994,37(3):293-298.
[11] Lamey JR, Eschenbach DA, Mitchell SH, et al. Isolation of mycoplasmas and bacteria from the blood of postpartum women[J]. Am J Obstet Gynecol, 1982,143(1):104-112.
(2014-05-21收稿)
/
| 〈 |
|
〉 |