男性与女性下体尖锐湿疣的临床特征及流行病学的差异性调查  

Difference investigation of clinical characteristics and epidemiology of condyloma acuminatum in private parts of male and female

作　　者：赵玉丛[1] 蔡林[2] 

机构地区：[1]北京市昌平区医院皮肤科,北京102200 [2]北京大学人民医院皮肤科,北京100044

出　　处：《中国性科学》2017年第3期65-68,共4页Chinese Journal of Human Sexuality

基　　金：北京市优秀人才培养资助项目(2011D003034000008)

摘　　要：目的:分析男、女性下体尖锐湿疣(CA)的临床特征与流行病学的差异性。方法:收集2010年12月至2015年1月北京市昌平区医院皮肤科收治的138例男性、114例女性下体尖锐湿疣患者的临床资料,总结其临床特点,调查其流行病学特征,总结男、女下体尖锐湿疣的差异性。结果:男性下体尖锐湿疣患者年龄普遍大于女性,且其发病时间较长(P<0.05);男性下体尖锐湿疣患者职业多为干部、保健行业、商人,女性则以保健行业为首,其次为商人、茶艺师;男、女性下体尖锐湿疣患者婚姻状况对比差异无统计学意义(P>0.05),男性下体尖锐湿疣患者文化程度较高,而女性尖锐湿疣患者初中及以下所占比例高于男性(P<0.05);男性下体尖锐湿疣患者吸烟、饮酒者多于女性(P<0.05),女性食辛辣所占比例多于男性(P<0.05);男性感染途径多为一夜情,其次为同居,而女性感染首要途径为同居,其次为婚内性生活,不同性别尖锐湿疣感染途径对比差异有统计学意义(P<0.05);女性近1年来有生殖系统感染史占23.68%,多于男性(P<0.05);男性从不使用安全套比例低于女性(P<0.05),每次性生活使用安全套比例多于女性(P<0.05);男性高低危混合HPV感染比例低于女性(P<0.05),其余各亚型对比差异无统计学意义(P>0.05);男性疣体多分布于包皮、阴茎、尿道口、系带处,女性疣体主要分布于会阴、阴道口、舟状窝、宫颈及小阴唇处。结论:女性尖锐湿疣患者多为性活跃期人群,且发病时间短,既往多合并生殖系统感染史,保健行业人群多见;男性则以中年群体居多,发病时间长,文化程度高,职业以干部、商人等为主,交易性行为为其主要感染途径。Objectives： To analyze the differences of clinical characteristics and epidemiology of condyloma acuminatum（ CA） in private parts of male and female. Methods： Clinical data of 138 male and 114 female patients with CA treated in the dermatological department of Hospital of Changping District from December 2010 to January2015 were collected to summarize the clinical characteristics and epidemiological characteristics. The difference in CA between male and female patients was summarized. Results： Age of male CA patients was generally larger than that of female CA patients,and disease duration was longer（ P〈0. 05）. The occupations of male CA patients were mainly cadres,healthcare industry and businessmen,while these of female CA patients were healthcare industry,businesswomen and tea specialists. There was no significant difference in marital status between male and female CA patients（ P〈0. 05）. Male CA patients had a higher degree of education,while a higher proportion of female CA patients were with the education level of below junior high school（ P〈0. 05）. The proportion of smoking and drinking in male CA patients was higher than that of female CA patients（ P〈0. 05）. Proportion of eating spicy-food in female CA patients was higher than that of male CA patients（ P〈0. 05）. Main route of infection of male CA patients was one-night stand,followed by cohabitation. The main route of infection of female CA patients was cohabitation,followed by sexual life in marriage. There were significant differences in the infection pathway of CA between male and female patients（ P〈0. 05）. In the past 1 year,proportion of history of reproductive system infection infemale was 23. 68%,which was significantly higher than that of male（ P〈0. 05）. The percentage of male who never used condoms was significantly lower than that of female（ P〈0. 05）,and the percentage of male who used condoms every time having sex was significantly more than that of female（ P〈0. 05）. The proportion

关 键 词：尖锐湿疣 男性 女性 流行病学 临床特点 

分 类 号：R752.53[医药卫生—皮肤病学与性病学]