中国女性生殖道感染诊治现状及研究进展.doc

中国女性生殖道感染诊治现状及研究进展廖秦平张 岱【摘 要】 女性生殖道感染是中国乃至全球性的社会及公共卫生问题。近年来，中国生殖道感染诊治及研究均有新进展。中华医学会妇产科感染疾病协作组成立以来，先后制定了大量的疾病诊治规范，但诊治规范的普及率较低，临床诊治不当或诊治过度的现象仍十分严重；以阴道微生态评价系统为代表的诊断技术尚未得到广泛应用，推广生殖道感染的诊治规范和关键技术、培训基层医师的技术水平和服务能力是目前中国生殖道感染性疾病防治的主要工作。当前生殖道感染的研究热点包括支原体致病性问题、“宫颈糜烂”的诊治问题、宫颈人乳头瘤病毒感染、盆腔炎诊治规范的制订及其中医中药治疗等。就上述热点问题进行阐述。【关键词】 生殖器疾病，女（雌）性； 支原体属； 宫颈糜烂； 盆腔炎性疾病； 诊断； 治疗Diagnosis，Treatment and Research Status of Female Reproductive Tract Infection in China LIAO Qin -ping，ZHANG Dai. Department of Obstetrics and Gynecology，Peking University First Hospital，Beijing 100034，ChinaCorresponding author：LIAO Qin-ping，E-mail：qinping_liao@【Abstract】 Female reproductive tract infection is becoming the social and public health issue in China and even theworld. Recently, the clinical practice and research of reproductive tract infections in China have achieved some advances.Since the establishment of Cooperative Grope of Infectious Diseases of Obstetrics and Gynecology Subcommittee of ChineseMedical Association, a large number of disease diagnosis and treatment guidelines have been developed. But the failure oftheir promotion resulted in the inappropriate or excessive treatment of such diseases. Besides, the diagnosis technology rep -resented by the vaginal microflora evaluation system has not yet been widely used. Therefore, the main project for the pre -vention and treatment of Chinas female reproductive tract infection is to promote the key technology and train the cliniciansabout the diagnosis and treatment guidelines of such diseases. The current research interests in the field of reproductive tractinfections including: pathogenicity of genital mycoplasmas, the diagnosis and treatment of cervical erosion, cervical HPVinfection, diagnosis and treatment of pelvic inflammatory disease and the treatment effect of traditional Chinese medicine.【Key words】 Genital diseases，female； Mycoplasma； Uterine cervical erosion； Pelvic inflammatory disease； Diagnosis；Therapy（J Int Obstet Gynecol， 2011, 3