103例生殖道沙眼衣原体感染患者的临床特征及随访结果分析  

Analysis of 103 patients with chlamydia trachomatis infection in urogenital tract

作　　者：袁柳凤[1] 闫会文[1] 赵兴云[1] 魏春波[1] 刘彦春[1] 吴焱[1] 伦文辉[1] YUAN Liufeng YAN Hui- wen ZHAO Xingyun WEI Chunbo LIU Yanchun WU Yan LUN Wenhui(Department of Dermatology, The Na- tional Clinical Key Department of Infectious Diseases, Beijing Ditan Hospital Affiliated to Capital Medical University, Beijing 100015, China)

机构地区：[1]首都医科大学附属北京地坛医院皮肤性病科,感染病科国家临床重点专科,北京100015

出　　处：《中国性科学》2016年第12期75-78,共4页Chinese Journal of Human Sexuality

摘　　要：目的：分析我院皮肤性病科门诊生殖道沙眼衣原体感染患者的临床特征及随访情况。方法：回顾性分析我院2013年4月至2015年10月经聚合酶链反应（PCR）确诊并有治疗后PCR随访结果的103例生殖道沙眼衣原体感染患者的临床及随访资料。结果：103例生殖道沙眼衣原体感染患者中,男性67例（65.05%）,女性36例（34.95%）,年龄17~58岁,平均（29.48±6.79）岁。38.83%（40/103）患者无明显临床症状,其中男性患者中29.85%（20/67）无明显临床症状,女性患者中55.56%（20/36）无明显临床症状。56.31%（58/103）患者存在混合感染,45.63%（47/103）合并解脲脲原体感染,10.68%（11/103）合并淋病。92.23%（95/103）患者治疗后PCR复查沙眼衣原体核酸阴性。结论：生殖道沙眼衣原体感染患者常为混合感染,且临床症状轻微或隐匿,临床应对有不安全性行为史的患者及其性伴做全面性病检查。PCR方法值得在生殖道沙眼衣原体感染患者的诊断及随访中推广使用。Objectives： To analyze the characteristics of patients with chlamydia trachomatis（ CT） infection in urogenital tract in the department of dermatology of Beijing Ditan Hospital. Methods： A retrospective analysis was done by collecting the clinical and laboratory data of 103 patients with CT infection in urogenital tract,which were diagnosed and followed up using polymerase chain reaction（ PCR） from April 2013 to October 2015. Results：Among the 103 patients,65. 05%（ 67 /103） of them were male with the average age of（ 29. 48 ± 6. 79） years old.The minimum age and maximum age were 17 and 58 years old,respectively. Among them,38. 83%（ 40 /103）were asymptom,but 29. 85%（ 20 /67） of the male patients and 55. 56%（ 20 /36） of the female patients were asymptom. Additionally,56. 31%（ 58 /103） of them had mixed infection,and there were 47 cases（ 45. 63%） co- infected with ureaplasma urealyticum and 11 cases（ 10. 68%） co- infected with neisseria gonorrhoeae. After treatment,92. 23%（ 95 /103） were negative tested by PCR for CT. Conclusion： CT infection in urogenital tract is usually asymptom and with mixed infections,so it is essential to perform comprehensive tests for all sexually transmitted diseases among those having high risk sexual behaviors. In addition,PCR is worth promoting and application in diagnose and follow- up for CT infection.

关 键 词：沙眼衣原体 性病 混合感染 聚合酶链反应 

分 类 号：R759[医药卫生—皮肤病学与性病学]