中华皮肤科杂志 ›› 2026, Vol. 59 ›› Issue (10): 935-947.doi: 10.35541/cjd.20260087

• 指南与共识·性传播疾病 • 上一篇    下一篇

中国神经梅毒诊疗指南(2026版)

中华医学会皮肤性病学分会    中国医师协会皮肤科医师分会    中华预防医学会皮肤病与性病预防与控制专业委员会   

  1. 中华医学会皮肤性病学分会    中国医师协会皮肤科医师分会    中华预防医学会皮肤病与性病预防与控制专业委员会
  • 收稿日期:2026-02-11 修回日期:2026-09-10 发布日期:2026-10-07
  • 通讯作者: 周平玉;徐金华;王千秋 E-mail:zpyls@yahoo.com
  • 基金资助:
    国家自然科学基金(82472329);上海市科学技术委员会上海市性传播疾病专业技术服务平台项目(17DZ2293300)

Chinese guidelines for the diagnosis and treatment of neurosyphilis (2026 edition)

Chinese Society of Dermatology; China Dermatologist Association; Chinese Preventive Medicine Association Professional Committee on Prevention and Control of Dermatology and Sexually Transmitted Diseases   

  1. Chinese Society of Dermatology; China Dermatologist Association; Chinese Preventive Medicine Association Professional Committee on Prevention and Control of Dermatology and Sexually Transmitted Diseases
  • Received:2026-02-11 Revised:2026-09-10 Published:2026-10-07
  • Contact: Zhou Pingyu; Xu Jinhua; Wang Qianqiu E-mail:zpyls@yahoo.com
  • Supported by:
    National Natural Science Foundation of China (82472329); Shanghai Technical Service Platform Project for Sexually Transmitted Diseases of Shanghai Science and Technology Commission(17DZ2293300)

摘要: 【摘要】 神经梅毒是梅毒螺旋体侵犯中枢神经系统引发的一类表现复杂多样的临床综合征,早期诊断困难,晚期常造成不可逆神经损伤,因此临床亟需规范化的诊疗路径。为此,中华医学会皮肤性病学分会、中国医师协会皮肤科医师分会、中华预防医学会皮肤病与性病预防与控制专业委员会联合组织国内性传播疾病及相关领域专家,制订本指南。本指南在借鉴临床实践指南研究与评价工具/推荐分级的评估、制定与评价国际标准的基础上制订,结合我国流行病学特征,重点围绕神经梅毒诊断、治疗和管理中的核心问题展开,涵盖诊断分型、鉴别诊断、并发症处理及多学科协作等方面,旨在为临床提供标准化的诊疗路径,提升神经梅毒早期识别与规范管理的水平。

关键词: 神经梅毒, 诊断, 治疗, 管理, 指南

Abstract: 【Abstract】 Neurosyphilis is a kind of clinical syndrome with various manifestations caused by Treponema pallidum infection that involves the central nervous system. Early diagnosis is challenging, and it can cause irreversible neurological damage in its late stages. Therefore, standardized diagnostic and therapeutic pathways are urgently needed in clinical practice. To address this, the Chinese Society of Dermatology, the China Dermatologist Association, and the Chinese Preventive Medicine Association Professional Committee on Prevention and Control of Dermatology and Sexually Transmitted Diseases jointly convened experts in sexually transmitted diseases and related fields in China to formulate this guideline. This guideline was developed following the Appraisal of Guidelines for Research and Evaluation instrument and the Grading of Recommendations Assessment, Development and Evaluation approach, considering the epidemiological characteristics of neurosyphilis in China. It focuses on the core issues in the diagnosis, treatment, and management of neurosyphilis, covering diagnostic classification, differential diagnosis, management of complications, and multidisciplinary collaboration, aiming to provide a standardized diagnostic and therapeutic pathway for neurosyphilis and to improve its early identification and standardized management.

Key words: Neurosyphilis, Diagnosis, Therapy, Management, Guideline

引用本文

中华医学会皮肤性病学分会 中国医师协会皮肤科医师分会 中华预防医学会皮肤病与性病预防与控制专业委员会. 中国神经梅毒诊疗指南(2026版)[J]. 中华皮肤科杂志, 2026,59(10):935-947. doi:10.35541/cjd.20260087

Chinese Society of Dermatology, China Dermatologist Association, Chinese Preventive Medicine Association Professional Committee on Prevention and Control of Dermatology and Sexually Transmitted Diseases. Chinese guidelines for the diagnosis and treatment of neurosyphilis (2026 edition)[J]. Chinese Journal of Dermatology, 2026, 59(10): 935-947.doi:10.35541/cjd.20260087