4 224例性病门诊就诊者尿道(宫颈)炎分泌物相关病原体检测分析

目的比较分析性病门诊淋病和非淋菌性尿道炎（NGU）的发病情况，探讨淋病合并NGU感染、沙眼衣原体（Ct）合并解脲脲原体（Uu）和人型支原体（Mh）感染的意义。方法对所有患者均同时检测淋球菌（Gc）、Ct、Uu、Mh。结果2004年到性病门诊就诊的患者共4224例，检出淋球菌感染459例，感染率10．87％。其中129例为Gc、Ct和Uu合并感染，感染率3．05％；检出NGU感染1370例（32．43％），其中363例为单纯Ct感染，感染率为8．51％；552例为单纯Uu感染，感染率为13．07％；110例为Mh感染，感染率为2．60％。Ct、Uu合并感染216例，感染率为5．11％。结论NGU感染阳性率明显高于淋球菌感染，在对性传播疾病（STD）怀疑NGU感染的高危人群检查或复查时，应同时检测Ct和Uu，尤其不能忽视高度怀疑Gc感染，同时合并Ct、Uu感染或淋球菌感染后非淋菌性尿道炎的发生。

Examinations of related pathogens in urethral and virginal secretions among 4 224 cases of urethritis/cervicitis visiting STD clinics

Objective To analyze and compare the incidence of NG and NGU among visitors to STD clinics and discuss the significance of NG and NGU coinfection,Ct coinfected with Uu and/or Mh.Methods A total of 4 224 cases visited our STD clinic during 2004.All of them received microbiological examinations which included gonorrhea,chlamydia,and mycoplasma hominis.Results In total,459(10.8%)cases were detected as gonorrhea positive,of which 129(3.05%)had coinfection with Gc,Ct and/or Uu;1 370 cases(32.43%)were infected with NGU,of which 363(8.51%)cases were only infected with Ct,552(13.07%)cases were infected with Uu,and 110(2.60%)cases were infected with Mh.In addition,216(5.11%)cases had Ct coinfection with Uu.Conclusion The incidence of NGU was higher than that of NG in STDs clinic.Ct and Uu coinfection was common among NGU patients,and a few of them were coinfected with Gc and Ct/Uu/Mh.Therefore,in case of suspecting NGU infection we should test all organisms including Gc,Ct,Uu and Mh for outpatients of STDs clinic and try to prevent and treat their coinfections.