臨床婦人科産科62巻6号

2008年06月発行

今月の臨床 妊婦の感染症

妊婦の感染と早産

著者： 大槻克文¹ 松浦玲¹ 杉山将樹¹ 八鍬恭子¹ 長谷川潤一¹ 松岡隆¹ 市塚清健¹ 岡井崇¹

所属機関： ¹昭和大学病院総合周産期母子医療センター産科部門

ページ範囲：P.816 - P.823

はじめに

　妊婦の感染が早産の原因となることは古くから知られていたが，早産の多くで子宮内感染，特に絨毛膜羊膜炎の関連していることが指摘されたのは比較的最近のことである．その知見に基づき，早産予防や切迫早産管理の新しい指針の確立が急がれているが，現在のところ未だ実現していない．それは絨毛膜羊膜炎の診断と治療が一般に予想される以上に難しく，またその前段階の腟や頸管の感染などの取扱に関しても最適な方法を見つけることが困難なためである．

　本稿ではこれまでの報告を基に，上記をめぐる諸問題について考察してみたい．

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