Chapel T A, Brown W J, Jeffres C, Stewart J A
Sex Transm Dis. 1977 Oct-Dec;4(4):150-2. doi: 10.1097/00007435-197710000-00008.
Material from 100 consecutive men who presented with penile ulcerations was tested for a variety of microorganisms. Fifty-one patients had microorganisms identified that were considered primary pathogens. The laboratory data were compared with the clinical diagnoses and the diagnostic accuracy and index of suspicion calculated. The diagnostic accuracy for lesions due to Treponema pallidum was 77.8%, Herpesvirus hominis 62.9% and Haemophilis ducreyi 33.3%, whereas the indexes of suspicion were 88.2%, 67.7% and 300% respecitively. These data show that the clinical diagnosis of genital ulcers is oftern inaccurate and that definitive diagnosis requires laboratory tests.
对100例连续出现阴茎溃疡的男性患者的样本进行了多种微生物检测。51例患者检测出被视为主要病原体的微生物。将实验室数据与临床诊断结果进行比较，并计算诊断准确性和疑似指数。梅毒螺旋体所致病变的诊断准确性为77.8%，人疱疹病毒为62.9%，杜克雷嗜血杆菌为33.3%，而疑似指数分别为88.2%、67.7%和300%。这些数据表明，生殖器溃疡的临床诊断常常不准确，明确诊断需要实验室检测。
