男性尖锐湿疣患者合并解脲支原体感染的临床特点分析

Clinical analysis of male genital warts patients with UU infection

目的:探讨男性尖锐湿疣患者合并解脲支原体感染的临床特点分析。方法:选择86例男性尖锐湿疣患者为观察组,86例健康男性为对照组,根据患者主诉记录临床特征,采用醋酸白试验和UU培养基检测判定复发情况。结果:86例CA患者中,共41例患者检出解脲支原体感染,占47.7%。86例对照组中,共9例检出解脲支原体感染,占10.5%;二者检出率比较具有显著性差异(P<0.05);单纯CA组患者复发7例,复发率为15.6%;CA合并UU组患者复发16例,复发率为39.0%,二者复发率比较具有显著性差异,合并UU感染更易复发;41例UU阳性患者中,21例患者出现尿道口黏膜明显充血发红,占51.2%;24例患者镜检出现多形核白细胞,占58.5%;5例患者主诉提及尿急、尿频、尿道不适,尿道分泌物等尿道炎症状,占12.2%。结论:尖锐湿疣合并解脲支原体感染是导致尖锐湿疣复发的重要因素,需尽早进行常规检查和化验,并进行规范化治疗。

Objectives： To investigate the clinical features of male genital warts patients with UU infection.Methods： 86 male genital warts patients were selected as the observation group,86 healthy male were selected as the control group. According to the clinical features of the patients＇ complaint,acetic acid white test and UU medium detection were used to determine recurrence rate. Results： Among the 86 CA patients,41 patients with UU infection were detected,accounting for 47. 7%. Among the 86 cases in the control group,9 cases with UU infection were detected,accounting for 10. 5%,with significant difference in detection rates between the two group（ P〈 0. 05）; 7 cases relapsed in pure CA patients group,a recurrence rate of 15. 6%; 16 cases relapsed in CA combined UU group,a recurrence rate of 39. 0%,with significant difference in recurrence rate between the two group. Among41 cases UU- positive patients,21 patients had obvious redness urethra mucosa,accounting for 51. 2%; 24 cases polymorphonuclear leukocytes occurred,accounting for 58. 5%; 5 patients＇ complaint mentioned urinary urgency,urinary frequency,urinary discomfort,urethral discharge and other symptoms of urethritis,accounting for 12. 2%.Conclusion： Genital warts combined UU infection is an important factor leading to recurrence of genital warts,which needs routine inspection and testing as soon as possible and standardized treatment.