中华皮肤科杂志 ›› 2026, Vol. 59 ›› Issue (10): 919-934.doi: 10.35541/cjd.20260174

• 指南与共识·性传播疾病 • 上一篇    下一篇

梅毒、淋病和生殖器疱疹诊疗指南(2026版)

中国疾病预防控制中心性病控制中心    中华医学会皮肤性病学分会性病学组    中国医师协会皮肤科医师分会性病亚专业委员会   

  1. 中国疾病预防控制中心性病控制中心    中华医学会皮肤性病学分会性病学组    中国医师协会皮肤科医师分会性病亚专业委员会
  • 收稿日期:2026-03-31 修回日期:2026-09-21 发布日期:2026-10-07
  • 通讯作者: 王千秋 E-mail:wangqq@ncstdlc.org
  • 基金资助:
    中国医学科学院医学与健康科技创新工程项目(2021-I2M-1-001);江苏省医学重点实验室、江苏省科教能力提升工程项目(ZDXYS202204)

Guidelines for diagnosis and treatment of syphilis, gonorrhea, and genital herpes (2026 edition)

National Center for STD Control, Chinese Center for Disease Control and Prevention; Venereology Group, Chinese Society of Dermatology; Subcommittee on Venereology, China Dermatologist Association   

  1. National Center for STD Control, Chinese Center for Disease Control and Prevention; Venereology Group, Chinese Society of Dermatology; Subcommittee on Venereology, China Dermatologist Association
  • Received:2026-03-31 Revised:2026-09-21 Published:2026-10-07
  • Contact: Wang Qianqiu E-mail:wangqq@ncstdlc.org
  • Supported by:
    CAMS Innovation Fund for Medical Sciences (2021-I2M-1-001); Jiangsu Provincial Medical Key Laboratory, Jiangsu Province Capability Improvement Project through Science, Technology and Education (ZDXYS202204)

摘要: 【摘要】 梅毒、淋病和生殖器疱疹是我国目前重点防治的性传播疾病。梅毒的临床表现复杂,可分为一期梅毒、二期梅毒、三期梅毒、神经梅毒、隐性梅毒及胎传梅毒等。淋病主要侵犯泌尿生殖道,其临床表现从无症状到伴发各种并发症,差别较大。生殖器疱疹是一种慢性复发性性传播疾病。这3种性病的诊断应依据流行病学史、临床表现及实验室检查结果综合判断,确诊后应尽早、规范并按推荐方案进行治疗,治疗后应进行必要的随访。近年来,性传播疾病流行形势和诊疗技术的不断变化,使人们对性传播疾病的传播、发病机制、诊断、治疗有了新的认识,为更好地进行此类疾病的防控,中国疾病预防控制中心性病控制中心、中华医学会皮肤性病学分会性病学组、中国医师协会皮肤科医师分会性病亚专业委员会组织专家更新制订了《梅毒、淋病和生殖器疱疹诊疗指南(2026版)》。

关键词: 梅毒, 淋病, 生殖器疱疹, 诊断, 治疗, 指南

Abstract: 【Abstract】 Syphilis, gonorrhea, and genital herpes are major sexually transmitted diseases (STDs) that require prioritized prevention and control in China. Syphilis has complex clinical manifestations and is classified as primary syphilis, secondary syphilis, tertiary syphilis, neurosyphilis, latent syphilis and congenital syphilis, etc. Gonorrhea mainly affects the urogenital tract, and its clinical manifestations markedly vary from asymptomatic types to complicated types. Genital herpes is a chronic and recurrent STD. The diagnosis of these three STDs should be established by integrating epidemiological history, clinical features, and laboratory findings. Upon diagnosis, treatment should be initiated as early as possible according to recommended regimens, and appropriate follow-up should be performed after treatment. In recent years, the evolving epidemic trends of STDs and advances in diagnostic and therapeutic techniques have deepened the understanding of their transmission, pathogenesis, diagnosis and treatment. To enhance their prevention and control, the National Center for STD Control of the Chinese Center for Disease Control and Prevention, the Venereology Group of the Chinese Society of Dermatology, and the Subcommittee on Venereology of the China Dermatologist Association convened experts to formulate the "Guidelines for diagnosis and treatment of syphilis, gonorrhea, and genital herpes (2026 edition)".

Key words: Syphilis, Gonorrhea, Genital herpes, Diagnosis, Therapy, Guidelines

引用本文

中国疾病预防控制中心性病控制中心 中华医学会皮肤性病学分会性病学组 中国医师协会皮肤科医师分会性病亚专业委员会. 梅毒、淋病和生殖器疱疹诊疗指南(2026版)[J]. 中华皮肤科杂志, 2026,59(10):919-934. doi:10.35541/cjd.20260174

National Center for STD Control, Chinese Center for Disease Control and Prevention, Venereology Group, Chinese Society of Dermatology, Subcommittee on Venereology, China Dermatologist Association. Guidelines for diagnosis and treatment of syphilis, gonorrhea, and genital herpes (2026 edition)[J]. Chinese Journal of Dermatology, 2026, 59(10): 919-934.doi:10.35541/cjd.20260174