【摘要】 目的 研究淋病双球菌、沙眼衣原体、解脲支原体在急性盆腔炎发病中的作用。方法 对128例急性盆腔炎患者的宫颈分泌物采用培养及免疫层析法检测。结果 128例急性盆腔炎患者中，淋病双球菌检出率为18.0%(23/128)，其中10例为混合感染；沙眼衣原体检出率为7.8%(10/128)，其中8例为混合感染；解脲支原体检出率为39.9%(51/128)，其中19例为混合感染。结论 淋病双球菌、解脲支原体可成为急性盆腔炎的发病因素，沙眼衣原体病原体在急性盆腔炎发病中可能只起到协同作用。

    【关键词】 淋病双球菌；沙眼衣原体；解脲支原体；急性盆腔炎

    Role of the pathogen of Neisseria gonorrhea, Chlamydia trachomatis and mycoplasma urealiticum in acute pelvic inflammatory disease. LIU Sha.GU Ya-Qin. Department of Gynecology, Li Qun Hospital of Shanghai, Shanghai 200333, China

    【Abstract】 Objective To study the role of Neisseria gonorrhea,Chlamydia trachomatis and mycoplasma urealiticum in acute pelvic inflammatory disease. Methods Cervical discharge of 128 patients with acute pelvic inflammatory disease was examined by culture and immuno-chromatography assays. Results Among the 128 patients, percent positive for Neisseria gonorrhea was 18.0%(23/128), of which, 10 cases had mixed infection; percent positive for chlamydia trachomatis was 7.8%(10/128), of which, 8 cases had mixed infection; percent positive for mycoplasma urealiticum was 39.9%(51/128), of which, 19 cases had mixed infection. Conclusion Neisseria gonorrhea and mycoplasma urealiticum may piay a major role in the etiology of acute pelvic inflammatory disease where as chlamydia trachomatis may only be a contributory factor in the development of acute pelvic inflammatory disease. ......