学科分类
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7 个结果
  • 简介:Researchdatashowedthatsyndromicapproachcouldsuccessfullymanagegonococcalandchlamydialinfectionsinmalesandsyphilisandchancroidinmalesandfemales.However,lowsensitivity,specificityandpositivepredictivevaluewerefoundinthesyndromicmanagementofvaginaldischarge.Itisrecommendedthatthesyndromicalgorithmformanagementofvaginaldischargeusedwhenservinghigh-riskandsymptomaticwomen.

  • 标签: 性传播疾病 衣原体感染 梅毒 软体下疳 综合病症 STD门诊
  • 简介:Objective:Tointroducethecurrentstatusofimplementingsexuallytransmittedinfection(STIs)syndromicmanagementinChina.Methods:Datawerecollectedandanalyzedfromtheliterature.Possiblesolutionsweresuggestedfortheobstaclesencounteredintheimplementationprocess.Results:Validationofrevisedflowchartsforthemanagementofthreesyndromes(urethritis,vaginaldischarge,andgenitalulcers)hasbeenconductedinChina.Thefeasibility,effectivenessandacceptanceofusingasyndromicSTIapproachwereinvestigatedinalargestudyinHainan,ZhejiangandHubeiProvinces.Chiefobstaclestoimplementationincludedthefollowing:lackofsupportfromgovernmentauthorities;negativereactionbyhospitals;lackofcriticalthinkingandinnovation;perceivedover-emphasisontreatmentattheexpenseofprevention;andlackofcoverageforseveralimportantpathogenswithintreatmentalgorithms.Possiblesolutionsmayincludepolicyadvocacy,adoptingsyndromicmanagementintoaChinesecontext,disseminationandpromotion,trainingofproviders,encouraginguseofsyndromicapproach,andconductingoperationalresearch.Conclusions:SyndromicSTImanagementprovidesafeasibleapproachforthediagnosisandtreatmentofSTIsinChina.Furthereffortsshouldbemadeforscalingupitsapplicationinclinicalsettings.

  • 标签: 性传播感染 STIS 综合病症 临床表现 尿道炎 生殖器溃疡
  • 简介:Reiter'ssyndromeisasecondarydiseaseofurethrainfection.Itconsistsofurethritis,nonsuppurativearthritis,conjunctivitisandcutaneousmucosalesions.YoungmalesaremorelikelytogetReiter'ssyndromethanfemales.Thusfar,therearenoreportsofwomeninChinawithReiter'sSyndrome.ThisreportdocumentstwofemaleswithReiter'sSyndrome.

  • 标签: REITER综合征 尿道感染 尿道炎 关节炎 结膜炎 病例分析
  • 简介:临床资料患者,女,70岁。主因无症状外阴红斑2个月,于2015年6月9日就诊。2个月前无明显诱因,患者右侧大阴唇上方出现红斑,直径约2cm,无自觉不适。半个月前就诊于我科门诊,按湿疹给予曲安奈德益康唑乳膏外用10余天,皮损无好转。

  • 标签: Paget's病 乳房外 女阴
  • 简介:Summary:RiskfactorsforgenitourinaryChlamydiatrachomatis(Ct)infectionwereinvestigatedusinganSTDrelativeriskfactorquestionnaireamong176patientsandtheirregularsexualpartners.Twenty-fourindependentvariableswereselectedforanalysis,nineofwhichwereconfirmedasfactorsassociatedwithC.trachomatis.Fouroftheninefactorsweresignificantlycorrelatedtoinfectionusingamultifactorialunconditionallogisticregressionmodelwhichincluded:levelofeducation(oddsratios[ORs]:2.144forbelowjuniormiddleschool),numberofsexualpartners(ORs:4.503for≥5),numberofregularpartner'ssexualpartner(ORs:16.333for≥5),STDhistoryofregularpartner(ORs:18.417fortheirSTDhistory).Thesedatademonstratethatregularpartner'ssexualbehaviorsarealsoanimportantriskfactorforCtinfectionamong,STDclinicclients.

  • 标签: 沙眼衣原体 高危因素 性传播疾病 STD 性行为 性传播感染
  • 简介:目的:探讨卵巢高分化黏液性癌(highlydifferentiatedOvarianmucinouscarcinoma,HDOMC)患者中MMP-2、MMP-9、S100A14的表达水平及意义。方法:采用免疫组化法对40例正常卵巢组织、43例卵巢黏液性肿瘤(Ovarianmucinoustumor,OMT)、80例HDOMC患者中MMP-2、MMP-9、S100A14的表达水平进行检测,并分析HDOMC患者中S100A14表达与MMP-2、MMP-9表达的相关性。结果:MMP-2、MMP-9、S100A14在正常卵巢组织、OMT、HDOMC患者中的表达水平呈递增趋势,且两两组间比较差异显著(P〈0.05)。Spearman相关分析:HDOMC患者中S100A14表达与MMP-2、MMP-9表达水平两两呈正相关(P〈0.05)。MMP-2、MMP-9、S100A14表达水平与HDOMC患者手术-病理分期(FIGO)、CA-125水平有关(P〈0.05);与年龄、肿瘤直径、淋巴结转移无关(P〉0.05)。结论:MMP-2、MMP-9、S100A14表达水平升高与HDOMC发生、进展、早期转移具有显著相关性,早期联合筛查这些指标对HDOMC病情演变及治疗预后评估具有重要价值。

  • 标签: 黏液性癌 表达水平 联合筛查 病理分期 相关性