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据最近估计,美国约有300万滴虫病患者, 其发病率仅次于衣原体感染。该文就其近来的临床及其基础研究作一综述。 临床特征:据估计,25%~50%的受感染妇女是无症状的。1/3的无症状患者在6个月内将转为有症状者。有症状女性的主诉多为阴道分泌物及外阴阴道刺激症状。典型表现为泡沫性、恶臭味的绿色阴道分泌物,在有症状女性中仅占一半以下。75%的患者有阴道红斑,而90%的患者在阴道镜检时可发现由毛细血管充血或点状出血所致的“草莓状”宫颈。男性滴虫病一般无症状,其携虫状态可持续4个月。滴虫
According to recent estimates, there are about 3 million trichomoniasis patients in the United States, the incidence of which is second only to chlamydial infection. This article reviews its recent clinical and basic research. Clinical features: It is estimated that 25% to 50% of infected women are asymptomatic. One third of asymptomatic patients will become symptomatic within 6 months. The main complaint of women with symptoms of vaginal secretions and vulvar vaginal irritation. The typical manifestation is a foamy, malodorous green vaginal discharge, accounting for less than half of symptomatic women. 75% of patients have vaginal erythema, and 90% of patients in the colposcopy can be found by capillary congestion or punctate bleeding “strawberry” cervix. Men are generally asymptomatic trichomoniasis, the bug carrying state can last 4 months. Trichomonas