56例早期梅毒的临床分析及组织病理学检查

Clinical Analysis and Test of Histopathology for the Primary Syphilis of 56 Cases

目的 通过临床分析及组织病理检查 ,探讨早期梅毒的诊断依据。方法 利用电镜、墨汁染色及W F染色法观察病损组织液、淋巴结穿刺液及病理组织切片中的梅毒螺旋体。结果 5例组织液及肿大的淋巴结穿刺液涂片扫描电镜下发现梅毒螺旋体 ,42例肿大的淋巴结穿刺液及 19例组织液涂片经墨汁染色等发现梅毒螺旋体。结论 在病损组织液、肿大的淋巴结穿刺液及病理切片中检出梅毒螺旋体可作为梅毒的重要诊断依据。

Objective To find the basis for the diagnosis of the primary syphilis with clinical analysis and test of pathology.Methods Observe pallida spirochaeta with electron microscope,fluid ink and W F stain in the smears of pathological tissue fluid,lymph node puncture fluid and pathological sections.Results Pallida spirochaeta were found with scan electron microscope in the smears of 5 cases,with fluid ink et al.Stain in the smears of lymph node puncture fluid of 42 cases and pathological tissue fluid of 19 cases,with W F stain in the pathological sections of 47 cases.Conclusion The find of pallida spirochaeta was thought of important basis of diagnosis as the syphilis in the smears of pathological tissue fluid,lymph node puncture fluid and the pathological sections.