目的在妇科门诊对阴道宫颈炎病征处理方案的有效性进行评价。方法对妇科门诊具有阴道分泌物异常症状的就诊者进行危险因素评估和病征处理,同时与病原学诊断进行比较。结果共1565例调查对象,宫颈淋球菌和沙眼衣原体感染率20.7%。与病原学诊断相比,病征诊断淋病和(或)沙眼衣原体感染的敏感性为42.5%,特异性为72.6%,阳性预期值为26.2%,阴性预期值为84.6%。结论病征处理方案的敏感性和阳性预期值较低,可能造成过度治疗或漏诊漏治的比例增加。如何进一步改进病征处理方案值得进一步研究。 Objective To evaluate the effectiveness of gynecological clinic in treating vaginal cervicitis symptoms. Methods The risk factors and symptom management of patients with abnormal vaginal discharge in gynecology clinic were evaluated and compared with the etiological diagnosis. Results A total of 1565 subjects, cervical gonococcal and Chlamydia trachomatis infection rate of 20.7%. Compared with etiological diagnosis, the symptoms were diagnosed as gonorrhea and / or Chlamydia trachomatis with a sensitivity of 42.5%, a specificity of 72.6%, a positive expected value of 26.2% and a negative expected value of 84.6%. Conclusions The lower the sensitivity and positive predictive value of the symptom management program, the more likely to cause over-treatment or missed diagnosis and treatment. How to further improve the disease treatment program deserves further study.