目的:研究不孕妇女细菌性阴道病( Bacterial vaginal disease ,BVD)与四种自身抗体的相关性探讨。方法:从2012年5月至2013年5月,选择我院299例不孕患者作为研究对象,根据患者病情进行分组,原发性不孕(Primary infertility,PI)组94例,人流后继发性不孕(Secondary infertility after induced abortion,SIAIA)组103例,药流后继发性不孕(Secondary infertility after medicine flows ,SIAMF)组102例。另选100例健康体检的女性为对照组,对比各组患者BVD阳性率情况,血清四种抗体的检测结果并分析BVD与抗体的相关性。结果:PI组、SIAIA组与SIAMF组的BVD阳性率均显著高于对照组,差异均有统计学意义(均P<0.05)。 PI BVD 阳性组的AsAb阳性率为34.48%(10/29),显著高于PI BVD阴性组的13.85%(9/65),差异有统计学意义(P<0.05)。 SIAIA BVD阳性组的EmAb阳性率为45.16%(14/31),显著高于SIAIA BVD阴性组的24.66%(18/73),差异有统计学意义(P<0.05)。SIAMF BVD阳性组与SIAMF BVD阴性组在AsAb阳性率、EmAb阳性率、ACA阳性率以及AzpAb阳性率等方面对比,差异均无统计学意义(均P>0.05)。 BVD与PI AsAb 以及SIAIA EmAb 均呈正相关。结论:不孕妇女BVD发生率较高,且和PI AsAb以及SIAIA EmAb具有较强相关性,值得临床关注。
Objective:To study correlation exploration of infertile women with bacterial vaginal disease (BVD) and four kinds of autoantibodies .Method:From May 2012 to May 2013, in our hospital, 299 cases of infertility patients as research subjects , They were divided into groups according to the patient's condition , with primary infertility ( PI) group of 94 cases , the secondary infertility after induced abortion group ( SIA-IA) of 103 cases, the secondary infertility after medicine flows (SIAMF) group of 102 cases.Chose another 100 cases of healthy women as a control group , and then compared each group of BVD positive rate , test re-sults of four antibodies in serum , and analyzed the correlation with BVD antibodies .Result: BVD positive rate of PI group, SIAIA group and SIAMF group was significantly higher than PI BVD group , the differences was statistically significant ( P 〈0.05).PI BVD group’s AsAb positive rate was 34.48%( 10/29 ), signif-icantly higher than PI BVD negative group (9/65) 13.85%, the difference was statistically significant (P 〈0.05) .EmAb positive rate of SIAIA BVD positive group was 45.16%( 14 /31 ) , significantly higher than SIAIA BVD negative group ( 18/73) 24.66%, the difference was statistically significant ( P 〈0.05) .SIAMF BVD positive group and negative group was contrasted in AsAb positive rate , EmAb positive rate , ACA posi-tive rate and AzpAb positive rate , the difference was not statistically significant ( P〉0.05).BVD with PI AsAb and SIAIA EmAb had positive correlation .Conclusion: The infertile women has higher BVD inci-dence, and with PI AsAb and SIAIA EmAb has a strong correlation .Which is worthy of attention .