老年梅毒84例临床分析

Clinical analysis of 84 aged patients with syphilis

目的:明确老年梅毒患者的临床特征。方法:回顾性分析2013年1月至2015年1月在我院初次诊治的84例老年梅毒患者的临床资料。结果:84例患者中男51例,女33例,一期梅毒5例,二期7例,三期3例,潜伏梅毒69例。36例(70.58%)男性和5例(15.15%)女性患者有婚外性行为史。84例老年梅毒患者血清TPPA及RPR检测均为阳性,完成正规驱梅治疗并随访2年的患者有67例,其中30例(44.77%)血清RPR在24个月内转阴。结论:老年梅毒中潜伏梅毒患者比例最大,70%男性患者有婚外性行为史。

Objective： To determine the clinical and serological characteristics of aged patients with syphilis. Methods： The clinical data of 84 aged patients with syphilis firstly diagnosed and treated in our hospital from January 2013 to January 2015 were analyzed retrospectively. Results： Of 84 patients,there were 51 males and 33 females. Five patients were diagnosed as primary syphilis,7 as secondary,3 as tertiary and 69 as latent syphilis. Thirty-six males and five females had the history of extramarital sex. TPPA and RPR test were positive in 84 patients. Sixty-seven patients completed antisyphilitic treatments and were followed up for2 years. RPR test became negative in 30 patients during 24 months after treatment. Conclusion： Latent syphilis is predominant and 70% patients have the history of extramarital sex.