性病门诊女性生殖器溃疡性疾病病因分析

目的了解性病门诊中,女性患者以生殖器溃疡为主要表现的疾病的病因。方法根据病史、临床表现,结合暗视野显微镜检查、梅毒血清学试验,PCR检测HSV-DNA等进行诊断。结果96例女性生殖器溃疡性疾病患者中,梅毒22例,占22.9%;生殖器疱疹30例,占31.3%;梅毒和生殖器疱疹混合感染2例,占2.1%;疑诊软下疳2例,占2.1%;白塞氏综合症5例,占5.2%;急性女阴溃疡6例,占6.3%;29例未能明确诊断,占30.2%。结论女性生殖器溃疡性疾病患者中,病因以生殖器疱疹、梅毒占多,软下疳少见。

Etiology of Female Genital Ulcer in Patients Attending A Sexually Transmitted Disease Clinic

Objective To investigate the etiology of female genital ulcers in patients attending a sexually transmitted disease clinic. Methods 96 female patients were examined for their disease history,clinical features, syphilitic serology and HSV-PCR. Results There were 22 (22.9%)cases of syphilis, 30 (31.3%) cases of genital herpes, 2 (2.1%) cases of co-infections with syphilis and genital herpes,2 (2.1%) cases of chancroid, 5 (5.2%) cases of Bechet syndrome, and 6 (6.3%) cases of ulcus vulvae acutum. The cause of genital ulcer in 29 (30.2%) patients could not be determined. Conclusion Chancre and genital herpses were the major genital ulcer diseases in patients attending the sexually transmitted disease clinic.