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目的了解梅毒在夫妻间的发病情况,探讨近年来梅毒发病率急剧升高的有关原因。方法对100例首诊为梅毒的患者及其配偶100例的临床资料进行分析。结果夫妻同患梅毒65对(130例),占65%。其中男性首诊患者25例,主要为一期梅毒。女性首诊患者40例,主要为二期梅毒。65对夫妻同患梅毒中,在夫妻一方首诊为梅毒后,有48例的配偶同时追踪被诊断为梅毒,其余17例同时追踪时未发现梅毒,在追踪1~3个月后才被诊断。配偶被追踪而诊断的梅毒中主要为潜伏梅毒,占83.2%(54/65)。此外,能引起患者注意的硬下疳发生率较低,只有28.5%(37/130),多见于男性。结论夫妻同患梅毒的比例较高。潜伏梅毒发生率较高。能引起注意的硬下疳发生率较低。这些因素是梅毒较其他性传播疾病更易于传播的主要原因。
Objective To understand the incidence of syphilis in couples, to explore the reasons for the sharp rise in the incidence of syphilis in recent years. Methods The clinical data of 100 patients with first diagnosis of syphilis and their spouses were analyzed. Results 65 patients with syphilis (130 cases), accounting for 65%. Among them, 25 cases were diagnosed as male first-time syphilis. 40 cases of female first visit patients, mainly for the second syphilis. 65 Symptomatic patients with syphilis in the couple first consultation for syphilis, 48 cases of spouses were also tracked syphilis at the same time tracking, while the remaining 17 cases did not find syphilis at the same time tracking, was tracked after 1 to 3 months before being diagnosed . Syphilis diagnosed by spouses was mainly latent syphilis, accounting for 83.2% (54/65). In addition, the incidence of epicondylines, which can draw the attention of patients, was lower at 28.5% (37/130), which was more common in males. Conclusion There is a high proportion of couples with syphilis. The incidence of latent syphilis is high. Hard to notice the incidence of lower gall bladder. These factors are the main reasons why syphilis is more easily transmitted than other sexually transmitted diseases.