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我国近年来由于国际交往日益频繁,在一些地方性病又开始复燃。为了保护广大人民群众身体健康,加强性病知识宣传教育,控制性病流行蔓延是一件十分重要的事情。近年来,国外在性病学方面从概念上、诊断治疗方法上均有许多新进展。旧的性病概念己为性传播疾病(STD)的新概念所代替。旧的性病主要是指通过性交传染的梅毒、淋病、软下疳、性病性淋巴肉芽肿这四种疾病。而STD却包括了所有以性行为传播方式的疾病,包括梅毒、淋病、软下疳、性病性淋巴肉芽肿、非淋菌性尿道炎、滴虫病、生殖器疤疹、外阴阴道念球菌病、嗜血杆菌性阴道炎、阴虱病、疥疮、尖锐湿疣、传染性软疣、腹股沟肉芽肿,甲型或乙型肝炎、获得性免疫缺陷综合症(AIDS、艾滋病)以及艾滋病相关综合征(ARC)。在性病诊断方法和治疗上同样有不少新进展。以梅毒血清学诊断为例,以往的瓦氏试验、康氏试验、克氏试验,目前己被梅毒筛选检验VDRL(性病研究实验室试验),USR(不加热血清反应素试验)等非特异性梅毒血清学诊断方法,以及常用作梅毒证实检验的FTA—ABS(荧光螺旋抗体吸收试验)和TPHA(梅毒螺旋体血球凝集试验)等特异性梅毒血清学诊断方法所替代。对梅毒的治疗,以往惯用的汞剂、铋剂、碘剂、砷剂疗法己为新的苄星青霉素疗法取代。在淋病治疗上,采用疗效可靠的壮观霉素(一针灵)疗法。其他一些STD治疗上同样也有若干新疗法。本期发表的《扁平湿疣一例报告》,旨在引起医界对性病新动向的注意,以便更好的控制性病的流行蔓延。
In recent years, due to the increasingly frequent international exchanges in our country, the venereal disease has started to revive again in some places. In order to protect the health of broad masses of people and strengthen publicity and education on STD knowledge, it is a very important matter to control the spread of STDs. In recent years, there are many new developments in the field of STDs in terms of concept, diagnosis and treatment. The old concept of venereal disease has replaced the new concept of sexually transmitted disease (STD). The old venereal disease mainly refers to the four diseases of syphilis, gonorrhea, infralagium, and venereal lymphatic granuloma that are transmitted through sexual intercourse. The STD includes all sexually transmitted diseases, including syphilis, gonorrhea, soft under the pancreas, venereal lymphogranuloma, non-gonococcal urethritis, trichomoniasis, genital herpes, vulvovaginal candidiasis, bloodthirsty Bacillary vaginitis, pubis lice disease, scabies, genital warts, molluscum contagiosum, granuloma of the groin, hepatitis A or B, acquired immunodeficiency syndrome (AIDS), and AIDS-related complex (ARC). There are also many new advances in STD diagnosis and treatment. In the case of syphilis serological diagnosis, for example, previous Valsalva test, Kant test, Klinefelter test have been tested by syphilis screening VDRL (STD laboratory test), USR (non-heating serum test) and other non-specific syphilis Serological diagnostic methods, and commonly used for syphilis confirmed test FTA-ABS (fluorescence spiral antibody absorption test) and TPHA (Treponema pallidum hemagglutination test) and other specific syphilis serological diagnosis method instead. The treatment of syphilis, past the usual amalgam, bismuth, iodine, arsenic therapy has been replaced by new benzathine penicillin therapy. In gonorrhea treatment, the use of reliable spectinomycin (a needle spirit) therapy. Other STD treatments also have several new therapies. This issue of “flat condyloma case report” aims to arouse the medical attention to the new trend of STD in order to better control the spread of STDs.