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目的 :了解不育不孕症生殖道衣原体及支原体的感染及其与年龄、性别、原发性、继发性、不洁性接触史的关系 ;解脲支原体 (UU)感染、生殖道炎症与精子活动率、抗精子抗体 (AsAb)的关系 ,进一步探讨不育不孕的致病因素 ,提高诊断准确率和治愈率。方法 :选用衣原体检测及支原体培养技术、抗精子抗体 (AsAb)检测技术、明胶凝集试验 (GelatingAgglutinationTest,GAT) ,试管玻片凝集试验 (TubeslideAgglutinationTest,TSAT)、精液分析检查。结果 :2 12例不育不孕症和 196例正常育龄夫妇的生殖道分泌物支原体、衣原体感染检测结果表明 ,男性不育的尿道感染率为 4 6 0 3% ;女性不孕的宫颈感染率为 52 32 % ,皆明显高于对照组 ,但差异无显著性意义。 2 5～ 2 9岁年龄段的感染率为 4 7 12 % ,与对照组比较 ,差异有极显著性意义 (P <0 0 0 5) ,解脲支原体 (UU)感染的不育不孕症的抗精子抗体 (AsAb)阳性发病率明显高于非感染者 (P <0 0 0 1)。解脲支原体感染的原发性与继发性不育比较 ,差异无显著性意义。伴有前列腺炎或宫颈炎与非炎症者的解脲支原体感染率无明显差异 ,而有不洁性接触史者发病率普遍高 ,与无不洁性接触史者感染率相比差异无显著性意义。结论 :解脲支原体感染在不育不孕症支原体衣原体感染中的感?
Objective: To understand the infection of genital Chlamydia and Mycoplasma in infertility infertility and its relationship with age, sex, primary, secondary and unclean sexual contact history; UU infection, genital tract inflammation and Sperm motility, anti-sperm antibody (AsAb) relationship to further explore the infertility infertility risk factors to improve the diagnostic accuracy and cure rate. Methods: Chlamydia test and mycoplasma culture, AsAb test, Gelating Agglutination Test (GAT), Tubeslide Agglutination Test (TSAT) and semen analysis were used. Results: The detection of mycoplasma and chlamydial infection in 2 12 infertility infertile women and 196 couples of normal reproductive age showed that the infection rate of male infertility was 46.03%. The prevalence of cervical infection in female infertility 52 32%, were significantly higher than the control group, but the difference was not significant. The infection rate of 25 ~ 29 years old group was 47.12%, which was significantly different from that of the control group (P <0.05). The infertility infertility caused by UU (Ureaplasma urealyticum) The positive rate of anti-sperm antibody (AsAb) was significantly higher than that of non-infected patients (P <0.01). Ureaplasma urealyticum infection of primary and secondary infertility, the difference was not significant. There was no significant difference in the infection rate of Ureaplasma urealyticum between those with prostatitis or cervicitis and noninflammatory patients, while the incidence of unclean sexual contact was generally high, but there was no significant difference between the two groups . Conclusion: Mycoplasma urealyticum infection in infertility infertility Mycoplasma Chlamydia infection?