性病性淋巴肉芽肿是一种由沙眼衣原体侵袭性 L1 至 L3 血清型引发的特异性性传播感染[1][2]。该病原体属于专性细胞内寄生菌，其致病血清型在生物学特性上区别于引起一般泌尿生殖道感染的常见菌株[4]。在疾病分类中，它被明确列为严格意义上的性传播疾病之一[5]。
疾病概览
细菌性性病性淋巴肉芽肿
Lymphogranuloma venereum
有证据支持的资料英文 5/7 个适用章节 · 中文 5/7 个适用章节更新于 2026年9月4日
性病性淋巴肉芽肿（LGV）是由沙眼衣原体特定侵袭性血清型引起的性传播感染[1][2]。该疾病在热带地区呈地方性流行，近年来在工业化国家中于男男性行为人群中显著增加[2][3]。其临床表现涵盖生殖器或结直肠病变及淋巴结肿大[1]。及时的治疗与伴侣管理是阻断持续传播的关键[1]。
阅读完整临床与流行病学资料6
该感染主要呈现为生殖器或结直肠综合征，并伴随显著的淋巴结肿大[1]。该病原体具有显著的临床重要性，可引起眼部和性传播感染[4]。
该疾病最初在热带地区呈地方性流行，传统上以异性接触为主要传播途径[2]。自本世纪初以来，其在工业化国家的流行模式发生转变，主要在男男性行为人群中扩散，并常引发严重的直肠炎表现[2]。目前该病在发达国家较为罕见，但在非洲、亚洲、南美洲及加勒比海的部分地区仍保持地方性流行状态[3]。例如，捷克共和国于 2011 年报告了首例确诊病例[2]。
该疾病的传播途径主要为直接的性接触，涵盖广泛的亲密身体接触与各类性行为模式[5]。流行病学数据显示，其传播网络已从传统的异性传播为主，演变为在工业化国家中主要由男男性行为人群驱动[2]。人口流动性增加及多性伴行为进一步影响了该病原体的传播动态[5]。
预防持续传播及相关并发症的核心在于及时的临床评估与规范治疗[1]。近期性伴侣应接受全面评估并接受经验性治疗，以降低交叉感染风险[1]。患者在完成全部疗程且临床症状完全消退前，应严格避免性行为[1]。此外，确诊后应依据公共卫生指引同步筛查其他性传播感染，并在治疗后落实随访检测[1]。
- 1US Centers for Disease Control and Prevention. Lymphogranuloma Venereum (LGV) - STI Treatment Guidelines [Internet]. cited 4 Sept 2026.Available from: https://www.cdc.gov/std/treatment-guidelines/lgv.htm
- 2Vaňousová D et al. [Lymphogranuloma venereum]. Cas Lek Cesk. 2012. PMID: 23301587.PubMed: https://pubmed.ncbi.nlm.nih.gov/23301587/
- 3Fuchs W et al. Sexually transmitted infections. J Dtsch Dermatol Ges. 2014 Jun. PMID: 24889293. doi: 10.1111/ddg.12310.PubMed: https://pubmed.ncbi.nlm.nih.gov/24889293/
- 4Mabey D et al. Lymphogranuloma venereum. Sex Transm Infect. 2002 Apr. PMID: 12081191. doi: 10.1136/sti.78.2.90.PubMed: https://pubmed.ncbi.nlm.nih.gov/12081191/
- 5Smith EP et al. Chlamydia trachomatis: a model for intracellular bacterial parasitism. J Bacteriol. 2025 Mar 20. PMID: 39976429. doi: 10.1128/jb.00361-24.PubMed: https://pubmed.ncbi.nlm.nih.gov/39976429/
- A55
- 1A82.1
数据覆盖
报告国家和地区
各报告国家的趋势
月度变化趋势
数据获取
本页面数据索引，含来源链接和更新信息。
官方数据来源机构、频率与说明30
ECDC Surveillance Atlas — Belgium Annual Baseline
Belgium
Belgium annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Cyprus Annual Baseline
Cyprus
Cyprus annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Czechia Annual Baseline
Czechia
Czechia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Denmark Annual Baseline
Denmark
Denmark annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Estonia Annual Baseline
Estonia
Estonia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Spain Annual Baseline
Spain
Spain annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
Finland THL Infectious Diseases Register
Finland
Finland THL Infectious Diseases Register national monthly case counts. The current month is ingested as provisional and the latest three months are refreshed for source revisions.
ECDC Surveillance Atlas — France Annual Baseline
France
France annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — United Kingdom Annual Baseline
United Kingdom
United Kingdom annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Greece Annual Baseline
Greece
Greece annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Croatia Annual Baseline
Croatia
Croatia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Hungary Annual Baseline
Hungary
Hungary annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
Ireland HPSC Notifiable Diseases Hub
Ireland
Ireland HPSC national weekly notifiable-disease totals from the official ArcGIS FeatureServer. Internal ingestion is enabled; public release remains disabled pending written redistribution permission.
冰岛卫生署年度传染病看板
Iceland
冰岛全国分病种年度病例通报；历史值可能追溯修订，并保持年度总量口径。
冰岛卫生署性病监测看板
Iceland
实验室与登记监测的月度性病诊断事实；官方看板按季度发布。
冰岛卫生署呼吸道感染周度看板
Iceland
按 ISO 周记录的呼吸道疾病诊断数；住院、样本和疫苗指标不计入诊断数。
冰岛卫生署历史传染病登记
Iceland
1997—2021 年官方历史登记表，年度与月度事实按原始粒度保留。
冰岛卫生署历史 ICD 临床月报
Iceland
Saga 电子病历 ICD 就诊数；与登记通报不可比并保持独立。
ECDC Surveillance Atlas — Italy Annual Baseline
Italy
Italy annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Liechtenstein Annual Baseline
Liechtenstein
Liechtenstein annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Lithuania Annual Baseline
Lithuania
Lithuania annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Luxembourg Annual Baseline
Luxembourg
Luxembourg annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Latvia Annual Baseline
Latvia
Latvia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Malta Annual Baseline
Malta
Malta annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Netherlands Annual Baseline
Netherlands
Netherlands annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
Norway FHI MSIS Statistics Bank
Norway
Norway FHI MSIS national monthly notifications from the official Allvis frontend API; adapter contract checks guard the unversioned endpoint.
ECDC Surveillance Atlas — Poland Annual Baseline
Poland
Poland annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
ECDC Surveillance Atlas — Portugal Annual Baseline
Portugal
Portugal annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.
Sweden Public Health Agency SmiNet
Sweden
Sweden SmiNet national monthly reported cases from the official Public Health Agency statistics pages; public release is enabled with closed-month publication and revisable recent-month refreshes.
ECDC Surveillance Atlas — Slovenia Annual Baseline
Slovenia
Slovenia annual Member-State reported case counts from the ECDC Surveillance Atlas. Missing topic/year cells remain unknown and published zeroes are preserved. Data provided by ECDC based on data reported by EU/EEA Member States.