| Objective:According to the infertility patients,combined laparoscopic surgery palace,determination of patients with cervical secretions and pelvic fluid CT,UU,MH in the operation,to explore the infection in the sensitivity of the detection of CT,UU,MH into its different parts the relationship between pelvic and and pelvic;Score tubal by using the scoring system for tubal,and explore the relationship between the infection of CT,UU,MH and fallopian tube damage during the operation,and further explore the relationship between single infection and multiple infection and tubal damage;Mycoplasma sensitivity test was performed in all patients who underwent Mycoplasma examination to understand the drug sensitivity of mycoplasma.Methods : 1.In this study,180 cases of infertility patients and 120 cases of termination of pregnancy in gynecology clinic of The first affiliated hospital of guangxi university of traditional Chinese medicine from February 2016 to February 2017 were examined.2,the gynecology hospital inpatient department for treatment of 88 cases of tubal infertility patients with hysteroscopy and laparoscopy surgery as infertility,gynecology hospital inpatient department for uterine leiomyoma,adenomyosis and ovarian cyst laparoscopic surgery patients 62 cases as control group,all patients underwent surgery for cervical secretion of CT,UU MH,check,take the pelvic fluid of pelvic fluid CT,intraoperative UU,MH examination,and the standard for evaluation of tube tubal patency infertility group intraoperative application of fallopian tubal adhesions,tubal fimbria,morphology and structure of 4 direction score,according to different were divided into low score(0-7 points),the assessment group(8-15),high score(16 points),study of mycoplasma,chlamydia infection and tubal infertility.Results:(1)180 cases of infertility were detected in 69 cases of Mycoplasma(38.33%)(ureaplasma urealyticum(UU),65 cases of Mycoplasma hominis(MH)14 cases,mixed infections(UU+ MH)10 cases)Chlamydia Chlamydia trachomatis(CT)infection in 28 cases(15.56%).120 patients in the control group were detected in 13 cases of Mycoplasma(10.83%)(ureaplasma urealyticum(UU),11 cases of Mycoplasma hominis(MH)3,mixed infections(UU + MH)2),Chlamydia Chlamydia trachomatis(CT)infection in 0;Infertility group positive rate of Mycoplasma in cervical secretions of 38.33%,significantly higher than the control group,10.83%,positive rate of chlamydia in cervical secretion of infertile group of 15.56%,3.33% significantly higher than the control group,a statistically significant difference(P<0.05).(2)88 cases of infertility surgery Mycoplasma in cervical secretions of patients with positive cultures in 31 cases,the positive rate was 35.23%(where MH 5 cases,UU infection in 29 cases,infection of UU and MH and 3 cases),and chlamydia culture positive in 9 cases,positive rate is10.23%;62 patients in the control group Mycoplasma in cervical secretions of patients with positive cultures in 9 cases,the positive rate was 14.52%(infection 1MH,UU infection in 8 cases,infection of UU and MH and 0),and chlamydia culture positive in 2 cases,the positive rate is 3.23%;Infertility group in the peritoneal fluid culture positive in 4 cases of Mycoplasma positive rate for 4.55%(infection 0 MH,UU infection in 4 patients),and chlamydia culture positive in 6cases,the positive rate is 6.82%;Peritoneal fluid in a control group of Mycoplasma and chlamydia are not detected;Infertility groups of Mycoplasma,Chlamydia rate were significantly higher than the control group,a statistically significant difference(P<0.05);Two sets of positive rate of Mycoplasma in cervical secretions than peritoneal fluid,there was a statistically significant difference(P<0.05);Positive rate of chlamydia in cervical secretion in the peritoneal fluid,the difference was not statistically significant(P>0.05);(3)groups at different levels of the fallopian tube,tubal infertility in scoring,chlamydia infection analysis: low,medium and high scoring groups in Mycoplasma infection no significant difference compared to 22(P>0.05);Low,medium,and chlamydia infection rates compared to 22 in the high scoring groups was statistically significant(P<0.05):chlamydia infection rates were significantly lower than those of the lower assessment group scores and high scoring Group(P<0.05),score group of chlamydia infection rates are significantly lower than high-scoring Group(P<0.05);Mycoplasma,chlamydia infection in patients with tubal in the proportion of the higher score group was significantly higher than that of a single group.(4)Drug sensitivity results: the highest resistance to ciprofloxacin(58.33%),followed by Cravit(55.83%);UU infection alone,the highest resistance to ciprofloxacin(63.27%),followed by Cravit(55.10%).MH the highest resistance to azithromycin(100%),followed by clarithromycin(85.71%).UU MH with the highest infection resistance of erythromycin(93.33%),followed by roxithromycin and azithromycin were(73.33%).Conclusion:Mycoplasma and chlamydia Have certain relevance with infertilityn tubal damage;Chlamydia infection was positively correlation with fallopian tube damage;Mycoplasma detection sensitivity in the fluid of pelvic cavity is higher,chlamydia in cervical and fluid of pelvic cavity detection sensitivity is;Mycoplasma,chlamydia mixed infection of tubal damage in single mycoplasma,chlamydia infection.Mixed MH and UU infection when a MH or UU infection pure resistance increase. |
