女性不孕患者解脲支原体、人型支原体和抗子宫内膜抗体水平的检测

目的：研究女性不孕与解脲支原体（UU）、人型支原体（MH）感染和抗子宫内膜抗体（AEMAb）之间的关系。方法：采用培养法分别对139例原发性和167例继发性不孕患者的官颈分泌物进行UU、MH检测；采用ELISA法检测血清中AEMAb。同时选择健康已孕妇女102人作为对照组。结果：原发性及继发性不孕组UU、MH感染率及AEMAb阳性率与对照组比较差异均有显著性（P〈0．01）；原发不孕组与继发不孕组UU、MH感染率、AEMAb阳性率相比差异无显著性（P〉0．05）；不孕组中支原体感染阳性患者AEMAb阳性率明显高于支原体阴性患者（P〈0．01）。结论：女性不孕与生殖道支原体感染及免疫因素有关，且AEMAb的产生与支原体感染有关。

Genital tract infection of Ureaplasma urealyticum and Mycoplasma hominis and serum anti-endometrial antibody in infertile women

Objective: To study the relationship between Ureaplasma urealyticum (UU) and Mycoplasma hominis (MH) infection and anti-endometrial antibody (AEMAb)in infertile women. Methods: UU and MH in cervical secretions and serum AEMAb level in 139 women with primary infertility, 167 with secondary infertility and 102 controls were determined by culture and ELISA, respectively. Results: Positive rates of UU, MH and AEMAb in infertile group were significantly higher than that in control group (P<0.01), but there were no statistical differences between primary and secondary infertility (P>0.05). The detection rate of AEMAb in infertile patients with mycoplasma were superior to that without mycoplasma (P<0.01). Conclusion: Genital tract infection of UU and MH and immunological factor could be related to female infertility. AEMAb formation may be induced by mycoplasma infection.