目的研究醋酸白试验对诊断尖锐湿疣的敏感性和特异性及应用价值。方法用 5% 醋酸溶液湿敷尖锐湿疣皮损部位并保持 3-5 分钟,观察皮损区域的发白情况。结果 211 例患者中阳性 165 例,阳性率为 78.2%;其中尖锐湿疣患者 159 例阳性 134 例,阳性率为 84.3%;念珠菌性包皮龟头炎 26 例阳性 25 例,阳性率为 96.2%。结论醋酸白试验对尖锐湿疣皮损的反应有较高的敏感性和特异性,与临床诊断应用效果基本相符,但临床诊断要注意醋酸白试验的不足和缺陷。 Objective To study the sensitivity, specificity and value of acetic acid white test in the diagnosis of condyloma acuminatum. Methods Wet the condyloma acuminatum area with 5% acetic acid solution for 3-5 minutes to observe the whitening of the lesion area. Results Among 211 patients, 165 cases were positive, the positive rate was 78.2%. Among them, 159 cases of condyloma acuminatum were positive in 134 cases, the positive rate was 84.3%. The positive rate of Candida albicans balanitis in 25 cases was 96.2%. Conclusion The acetic acid white test has a high sensitivity and specificity for the response of condyloma acuminatum lesions, which is basically consistent with the clinical diagnosis. However, the clinical trials should pay attention to the shortcomings and defects of the acetic acid white test.