小结
定义
尿道炎通常是一种性传播疾病，其典型表现包括排尿困难、尿道分泌物，同时可能伴有尿道外口瘙痒。尿道分泌物是典型的体检发现。
[Figure caption and citation for the preceding image starts]: 伴有宫颈炎和阴道分泌物的淋病CDC 图像库/Susan Lindsley [Citation ends].如果尿液分析的白细胞酯酶呈阳性，对分泌物进行革兰氏染色发现每个油浸视野中白细胞≥2 个，或晨尿的尿沉渣检查结果为每高倍视野中白细胞≥10 个，显示数量异常的多形核白细胞 (polymorphonuclear leukocytes, PMN)，则可确诊为尿道炎。[1]
[Figure caption and citation for the preceding image starts]: 尿道分泌物革兰氏染色查见革兰氏阴性双球菌和多形核白细胞改编自公共卫生图片库，疾病预防与控制中心（Jacobs N，1974 年） [Citation ends].尿道炎主要分为 2 类：如果分离出淋病奈瑟菌，则称为淋球菌性尿道炎；如果没有分离出淋病奈瑟菌，则称为非淋球菌性尿道炎 (NGU)。非淋球菌性尿道炎最常见的病因包括沙眼衣原体、生殖器支原体和解脲支原体。淋球菌感染后尿道炎是指在淋菌性尿道炎治愈后发生的非淋球菌性尿道炎。[2][3]尿道炎也可由外伤引致，但本章重点讨论感染性病因。
病史和查体
诊断性检查
治疗流程
贡献者
作者 查看所有
Assistant Professor
Division of Infectious Diseases
Department of Medicine
UCSD Antiviral Research Center
Division of Family Medicine
Department of Family and Preventive Medicine
UCSD La Jolla Family and Sports Medicine
San Diego
CA
利益冲突披露
SM has received funding from NIH, CHRP, CIRM, and Gilead Sciences. SM is an author of a number of references cited in this monograph.Dr Sheldon Morris would like to gratefully acknowledge Dr Christina Bailey, a previous contributor to this monograph. CB declares that she has no competing interests.
同行评议专家 查看所有
Associate Professor
Ob/Gyn and Urology
Director
Division of Urogynecology
Associate Residency Program Director
Temple University Hospital
Philadelphia
PA
利益冲突披露
VD declares that he has no competing interests.Assistant Professor of Medicine
Associate Fellowship Program Director
Division of Infectious Diseases
Johns Hopkins University School of Medicine
Baltimore
MD
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KG declares that he has no competing interests.Professor of Sexual Health
University of Melbourne
Director
Melbourne Sexual Health Centre
Carlton
Victoria
Australia
利益冲突披露
CF is an author of a number of references cited in this monograph. CF has received program grants of 6 figures US$.使用此内容应接受我们的免责声明。
