生殖道支原体感染诊治专家共识

·80·20163253TheChineseJournalofHumanSexualityMarch2016Vol．25No．3【】1974－、、。△【】[e-mail]··DOI10．3969/j．issn．1672－1993．2016．03．0261212△11000342100034【】。。U.urealyticumUu。UuM.genitaliumMgMg、。。Uu。Uu。Uu。。UuIVF。【】ConsensusonthediagnosisandtreatmentofmycoplasmainfectioningenitaltractZHANGDai12LIUZha-ohui12△．1．DepartmentofObstetricsandGynecologyPekingUniversityFirstHospitalBeijing100034China2．BranchofGenitalTractInfectionCommitteeofSexualMedicineChinaSexologyAssociationBeijing100034China【Abstract】Mycoplasmainfectioningenitaltractisahotissuewhichinvolvesmanysubjects．ChinaInsti-tuteofMedicalProfessionalCommitteeoftheＲeproductiveTractInfectionGroupformsaconsensusonthediagnosisandtreatmentofmycoplasma．UrogenitalmycoplasmahasastateofasymptomaticcarryespeciallyinUreaplasmaurealyticumUu．UucanbedividedintotwosubtypesofUreaplasmaparvumandUreaplasmaurealyticumandUreaplasmaparvumcanbeeasilyfoundinasymptomaticcarriers．UuandM．genitaliumMgistheimportantpathogencausingurethritisMgisanimportantpathogenofcervicitisandpelvicinflammatorydisease．Nucleicacidanalysisisamorefavorablemethodforthediagnosisandtreatmentofmycoplasma．Iftherearenosymptomsofuri-narytractinfectioninbothgenderswithUupositiveitshouldbeconsideredasacarrieranddonotneedtreatment．IfmaleisofUusexurethritistheproposalisthatsexpartnershouldbetreatedatthesametime．Patientswithvagi-nalUuduringpregnancydonotneedinterveneandtreatment．Ifmalewithabnormalsemenqualityhavefertilityre-quirementsbothmaleandfemaleneedtobetreatedforacourseofantibiotic．ThepositiveofUuhasnotsignificanteffecteitherinwomenorinmenduringIVF－ET．【Keywords】UreaplasmaurealyticumUuUreaplasmaparvumM．genitaliumMgMycoplasmahominis【】Ｒ714.2【】A。。、、、、、。。1MycoplasmaMyco-plasmatales、。167。U.urea-lyticumUu、M.hominisMh、M.genitaliumMg1。。80Mg。2guide.medlive.cn20163253TheChineseJournalofHumanSexualityMarch2016Vol．25No．3·81·Uu23。ParvoT960。14Parvo1、3、6、14T9602、4、5、7、8、9、10、11、12、13。。ParvoUreaplasmaparvumUpUpUp23Up。T960UreaplasmaurealyticumUu。UuUpUuUp。23。33.1。35%～50%20%～40%。UuMg4。3.2Mg、、、56。。10%Mh7Mh8。2008《》。3.39。4900、10。Uu。。3.4。11。3.5UuIVF、、、1213－16。4。。UpUu。UuUp。1981NGU。。。DNAPCＲ。Uu、Mh、Mg16SrＲNAUuUp。、、、、。。55.1。。。ＲNA、、。。。5.2。UuUpUuUu。ＲNA、、。6Uu。UuUuguide.medlive.cn·82·20163253TheChineseJournalofHumanSexualityMarch2016Vol．25No．3Uu。Uu。。Mg。。7。。。。。。。。。。。。17－19100mgpobid7d1g0.25gqdpo5～7d500mgpoqd7d400mgpoqd7～14d。14d。4。PCＲ。。1．Ⅱ．1991228－231．2．．20033161－163．3．．20073288－289．4ManhartLE．Mycoplasmagenitaliumanemergentsexuallytransmit-teddiseaseInfectDisBlinNorethAm2013274779－792．5Taylor－ＲobinsonDJensenJS．Mycoplasmagenitaliumfromchrysalistomulticoloredbutterfly．ClinMicrobiolＲev2011243498．6GaydosCMaldeisNEHardickAetal．Mycoplasmagenitaliumasacontributortothemultipleetiologiesofcervicitisinwomenattendingsexuallytransmitteddiseaseclinics．SexTransmDis20093610598－606．8LameyJＲEschenbachDAMitchellSHetal．Isolationofmyco-plasmasandbacteriafromthebloodofpostpartumwomen．AmJOb-stetGynecol19821431104－112．9KwakDWHwangHSKwonJYetal．Co－infectionwithvaginalUreaplasmaurealyticumandMycoplasmahominisincreasesadversepregnancyoutcomesinpatientswithpretermlabororpretermprema-tureruptureofmembranes．JMaternFETALNeonatalMed2014274333－337．10CareyJCBlackwelderWCNugentＲPetal．AntepartermcultureforUreaplasmaurealyticumarenotusefulinpredictingpregnancyout-come．AmJObstetGynecol19911643728－733．11．．200893186－187．12．IVF．2014159－62．13．．2002224216－219．14．－．20051312743－744．15．．2012101339－1341．16．159．20142122－125．17LanjouwEOssewaardeJMStaryAetal．2010EuropeanguidelineforthemanagementofChlamydiatrachomatisinfections．IntJSTDAIDS201021729－737．18WorkowskiKABermanSCentersforDiseaseControlandPreven-tionCDC．Sexuallytransmitteddiseasestreatmentguidelines2010．MMWＲＲecommＲep201059ＲＲ－121－110．19HornerPBleeKO＇MahonyCetal．ClinicalEffectivenessGroupoftheBritishAssociationforSexualHealthandHIV．2015UKNa-tionalGuidelineonthemanagementofnon－gonococcalurethritis．IntJSTDAIDS2015May22．Epubaheadofprint2015－07－27guide.medlive.cn