Jaffe H W
Ann Intern Med. 1975 Dec;83(6):846-50. doi: 10.7326/0003-4819-83-6-846.
Although new tests for syphilis, as well as new applications of standard tests, continue to appear, the usefulness of several of these procedures has not been determined. When the Fluorescent Treponemal Antibody-Absorption (FTA-ABS) test is used to screen for syphilis, the proportion of positive results that are true positives decreases. The value of modified FTA tests in the diagnosis of neurosyphilis and congenital syphilis remains unproved. Although not studied as extensively as the standard tests, several newer methods--the direct fluorescent antibody test for Treponema pallidum (DFATP), the Rapid Plasma Reagin (RPR) card test, and the microhemagglutination test for T. pallidum (MHA-TP)--may have certain advantages. To be of optimal diagnostic value, tests for syphilis must be selected according to the clinical situation.
尽管梅毒的新检测方法以及标准检测方法的新应用不断涌现，但其中一些检测程序的实用性尚未得到确定。当使用荧光密螺旋体抗体吸收试验（FTA-ABS）筛查梅毒时，阳性结果中真阳性的比例会降低。改良FTA检测在神经梅毒和先天性梅毒诊断中的价值仍未得到证实。虽然没有像标准检测那样进行广泛研究，但几种较新的方法——梅毒螺旋体直接荧光抗体试验（DFATP）、快速血浆反应素（RPR）卡片试验和梅毒螺旋体微量血凝试验（MHA-TP）——可能具有某些优势。为了具有最佳诊断价值，梅毒检测必须根据临床情况进行选择。
