380例女性淋病临床观察与分析

Clinical Observation and Analysis of 380 Female Gonorrhea Patients

目的总结分析女性淋病临床特点,探讨临床诊断和治疗方法。方法回顾性分析380例不同年龄女性淋病资料。结果380例淋球菌培养均为阳性。其中新生儿淋菌性结膜炎32例,幼女淋菌性外阴阴道炎58例,淋菌性宫颈炎187例,淋菌性尿道炎74例,淋菌性前庭大腺脓肿29例,380例全部治愈。结论淋球菌培养是筛查淋病的金标准,临床上对疑似病例应常规作淋球菌培养,以提高确诊率,减少漏诊。治疗应遵循尽早、彻底、足量、规则、合理、抗生素联合全身用药的原则,避免产生耐药菌珠,提高治愈率。

Objective To sum up and analyze the clinical feature of female gonorrhea and to investigate the clinical diagnosis and treatment methods.Methods 380 cases of female gonorrhea data were analyzed.The patients were in different age.Results The diplococcus gonorrhoeae of 380 patients were cultivated masculine,among the final diagnosis,32 patients were neonatus gonococcal conjunctivitis,58 patients were younger child gonococcal vulvovaginitis,187 patients were gonococcal cervicitis,74 patients were gonococcal urethritis,29 patients were the gonococcal abscess of Bartholin gland.380 patients were all cured.Conclusion Cultivanting of diplococcus gonorrhoeae was the gold standard to screen gonorrhea.We can make out diplococcus gonorrhoeae cultivante about borderline case clinically.Diagnosis rate can be raisen and missed diagnosis rate can be reduced.The treatment should follow the principle that is as early,thoroughly,sufficiently,regularly,reasonably as possible and the principle of antibiotics therapy with systemic administration possibly to avoid emerging drug fast bead,improve the cure rate.