国际妇产科学杂志

国际妇产科学杂志 ›› 2014, Vol. 41 ›› Issue (2): 161-163.

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沙眼衣原体感染与妊娠

徐茜，岳天孚   

  1. 300052 天津医科大学总医院妇产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-04-15 发布日期:2014-04-15

The Chlamydia Trachomatis Infection and Pregnancy

XU Qian，YUE Tian-fu   

  1. Department of Obstetrics and Gynecology，Tianjin Medical University General Hospital，Tianjin 300052，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-04-15 Online:2014-04-15

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摘要： 沙眼衣原体是目前感染率最高的性传播性疾病病原体，为引起妊娠期下生殖道感染的重要病原体。因其感染常呈亚临床状态，实验室检测对设备及技术要求高，临床医师相关知识欠缺，以及缺乏充足条件筛选高危人群并进行追踪治疗性伴侣，其潜在危害十分重大。妊娠期沙眼衣原体感染对妊娠有诸多不良影响：病原体本身造成的损伤机制及其引发的免疫反应是造成流产、胎儿生长受限、胎儿窘迫、胎膜早破、早产、低出生体质量儿、死胎、宫内感染、新生儿感染、产褥期感染和产后出血的原因之一。因此，有针对性地及时检查和治疗沙眼衣原体感染是降低母婴病率，提高围生期保健质量的重要举措。

关键词: 衣原体, 沙眼, 妊娠, 胎膜早破, 绒毛膜羊膜炎

Abstract: Chlamydia trachomatis（CT） is currently the most common sex transmitted disease pathogen world-widely，which is an important reason of lower genital tract infection as well. However，the Chlamydia trachomatis infection is always asymptomatic and the clinicians did not pay adequate attention on it. Also it needs advanced lab equipments and techniques in detecting and screening the population with high risks and the follow-up and treatment is also lack of attention. Women infected with Chlamydia trachomatis suffer from the damages of the pathogen itself and the immune reactions it caused，such as miscarriage，fetal growth restriction，fetal distress，pre-rupture of membrane，preterm labour，low body weight neonate，still birth，intra-uterine infection，infection of neonate and the puerperal infection and post partum haemorrage. So purposeful screening and treatment towards Chlamydia trachomatis infection are important to reduce the complications of both maternal and fetal.

Key words: Chlamydia trachomatis, Pregn, Fetal membranes, premature rupture, Chorioamnionitis