淋菌性尿道炎,人们比较熟悉,而对非淋菌性尿道炎则比较陌生,经常造成误诊误治。二者有何异同呢? 顾名思义,淋菌性尿道炎是由淋病双球菌引起的尿道炎症。临床上男性的尿痛、尿急、尿频、尿滴沥,并可流出脓性分泌物;女性淋病主要累及尿道和宫颈,临床症状一般很轻,病人只是白带多、下腹痛、外阴红肿等。淋菌性尿道炎是淋病的早期表现。 非淋菌性尿道炎则为沙眼衣原体或尿素支原体引起的一种非特异性尿道炎,有时与淋病同时交叉感染。当按淋病用青霉素治疗后,培养或涂片找不到淋球菌,而尿道炎症状持续不消失,则称为淋病后尿道 Gonococcal urethritis, people are more familiar with, and non-gonococcal urethritis is more strange, often misdiagnosis and mistreatment. What is the difference between the two? As the name implies, gonococcal urethritis is caused by gonococcal urethritis. Clinical men’s dysuria, urinary urgency, urinary frequency, urine dribbling, and purulent discharge; female gonorrhea mainly affects the urethra and cervix, the clinical symptoms are generally very mild, the patient is leucorrhea more, lower abdominal pain, vulvar swelling and so on. Gonococcal urethritis is an early manifestation of gonorrhea. Non-gonococcal urethritis is a non-specific urethritis caused by Chlamydia trachomatis or Ureaplasma urealyticum, and sometimes cross-infection with gonorrhea. When treated with penicillin by gonorrhea, gonococcal culture or smear can not be found, and persistent symptoms of urethritis disappeared, then known as gonorrhea urethra