目的：了解不孕不育与泌尿道感染患者解脲脲原体( Uu)感染现状。方法采用Uu培养、鉴定一体化试剂盒,对3790例不孕不育患者和1864例泌尿道感染患者的泌尿生殖道分泌物进行培养,并进行药敏试验分析。结果本地区Uu阳性总检出率47.93%(2710)。不孕不育组Uu阳性检出率(1846,48.70%)与泌尿道感染患者组(864,46.45%)比较差异无统计学意义(P>0.05),不孕不育组男性Uu阳性检出率(673,40.18%)明显高于泌尿道感染患者男性组(317,33.06%)(P<0.01),而女性Uu阳性检出率(1173,55.46%)却低于泌尿道感染女性组(547,60.66%)(P<0.01)。两组患者各年龄段之间男、女性Uu感染阳性率间差异均有显著性(P<0.01)。结论 Uu可能为本地区不孕不育患者重要致病因素之一,应对不孕不育患者进行常规Uu检测,规避不孕不育风险。%Objective This study was to investigate the prevalence of Ureaplasma urealyticum( Uu) in patients with infertility or urinary tract infection. Methods 3790 patients with infertility and 1 864 patients with urinary tract infections were cultured for Uu. Results Total positive rate was 47. 93%,48. 70% for infertile patients &46. 45% for Urinary tract infectious patients. Uu positive rate of male infertile patients was 40. 18%,which was higher than that of male urinary tract infectious patients 33. 06 % (P<0. 01);vice versa for female in each group. In this study,there is significant difference between male and female in each age group from patients with infertility or urinary tract infection ( P<0 . 01 ) . Concusions Uu may play an important role in infertile,and our study suggests that Uu detection should be performed as a routine test for infertile patient.
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