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目的:探讨女性非淋菌性尿道炎患者治疗后出现的临床症状的病因。方法:选择2002年5月~2006年5月我院妇科及皮肤科诊断的非淋菌性尿道炎并接受过至少一个疗程正规治疗的319例女性患者临床资料进行回顾性研究。结果:治疗后症状持续存在或出现新的临床症状共173例,符合复发性和持续性非淋菌性尿道炎范畴的18例,真菌感染76例为各病因之首,心理因素、多性伴等也是出现临床症状的重要原因。结论:加强对复发性和持续性非淋菌性尿道炎的认识、合理使用抗生素、针对病因治疗等是防治非淋菌性尿道炎治疗后出现临床症状的有效措施。
Objective: To investigate the etiology of clinical symptoms in women with non-gonococcal urethritis after treatment. Methods: The clinical data of 319 female patients with non-gonococcal urethritis diagnosed by gynecology and dermatology in our hospital from May 2002 to May 2006 were retrospectively studied. Results: There were 173 cases of persistent symptoms or new clinical symptoms after treatment, 18 cases were consistent with recurrent and persistent non-gonococcal urethritis, 76 cases of fungal infection were the first cause of each disease, psychological factors, multiple sexual partners, etc. It is also an important cause of clinical symptoms. Conclusion: To strengthen awareness of recurrent and persistent non-gonococcal urethritis, rational use of antibiotics, and etiological treatment are the effective measures to prevent clinical symptoms after non-gonococcal urethritis treatment.