目的了解鄂尔多斯市梅毒的流行情况,为梅毒的防治提供依据。方法对各旗区高危人群、重点人群以及性病疫情报告的梅毒监测资料进行回顾性分析。结果鄂尔多斯市1998～2007年共确诊梅毒1347例,1998～2001年梅毒发病呈散发状态,2002年以后呈快速成倍增长趋势,以一期梅毒和隐性梅毒为主。发病年龄以20～39岁为主,职业以职业不详和农民为主,文化程度以初中文化居多,传播途径以不详和婚外性传播为主。结论对隐性梅毒的规范治疗和梅毒病例的随访,是控制梅毒发生和传播的关键。应加强高危人群、重点人群梅毒的检测和随访。 Objective To understand the prevalence of syphilis in Erdos and provide basis for the prevention and treatment of syphilis. Methods Retrospective analysis was conducted on the surveillance data of syphilis in high risk area, key population and STD outbreak report in each flag area. Results A total of 1347 cases of syphilis were diagnosed in Erdos from 1998 to 2007, and syphilis was found to be exuded from 1998 to 2001. After 2002, the syphilis showed a rapid and multiple doubling tendency. The primary syphilis and latent syphilis were the main symptoms. Age of onset to 20 to 39-year-old, occupation to an unknown job and peasants, with a majority of junior high school culture, the route of transmission to unknown and extra-marital sex transmission. Conclusions The standard treatment of latent syphilis and the follow-up of syphilis cases are the key points to control the occurrence and spread of syphilis. Should be strengthened in high-risk groups, key populations syphilis detection and follow-up.