抗精子抗体与慢性前列腺炎的关系

目的 探讨抗精于抗体(AsAb)与慢性前列腺炎的关系。方法 应用ELISE-Combi试剂盒对30例慢性前列腺炎不育男性和30例非慢性前列腺炎不育男性的血清中抗精于抗体进行检测。结果 慢性前列腺炎不育组AsAb的阳性率明显高于非慢性前列腺炎不育组(P<0.05);慢性前列腺炎治愈组阳性率明显低于未愈组和非慢性前列腺炎不育组,而非慢性前列腺炎不育组AsAb阳性率明显低于慢性前列腺炎未愈组(P<0.05)。结论 (1)慢性前列腺炎引起的不育与抗精子抗体有关。(2)治疗慢性前列腺炎引起的免疫性不育,首先应治愈慢性前列腺炎,否则会影响治疗效果。     

锌与慢性前列腺炎

近年来锌在前列腺中的作用研究越来越多 ,而锌与慢性前列腺炎的关系的研究也更加深入。本文介绍锌与慢性前列腺炎关系 ,以及锌制剂治疗慢性前列腺炎的现状 ,为慢性前列腺炎的治疗提供理论依据。     

锌与慢性前列腺炎

近年来锌在前列腺中的作用研究越来越多，而锌与慢性前列腺炎的关系的研究也更加深入。本文介绍锌与慢性前列腺炎关系，以及锌制剂治疗慢性前列腺炎的现状，为慢性前列腺炎的治疗提供理论依据。     

慢性前列腺炎与前列腺液关系研究现状

慢性前列腺炎是泌尿外科常见病,目前临床尚无特异性诊断方法.除前列腺液常规检查外,研究慢性前列腺炎前列腺液细胞学、细胞因子、微生物学等改变有助于慢性前列腺炎诊断、治疗.     

乙哌立松联合α1受体阻滞剂治疗慢性前列腺炎/慢性骨盆疼痛综合征(Ⅲ B)的初步研究

慢性前列腺炎是泌尿男科门诊常见疾病之一,青壮年多发,慢性前列腺炎/慢性骨盆疼痛综合征(Ⅲ B)又是慢性前列腺炎的常见类型,尽管临床上报道多种方法治疗该病,但部分患者疗效仍不能满意.     

超声波治疗前列腺炎的临床应用探讨

前列腺炎是男性成年人的常见病,尤其是慢性前列腺炎,泌尿生殖系统较常见的和较难治的疾病。该病约占门诊病人的30％,超声波治疗急、慢性前列腺炎具有安全、有效、治疗时间短、可重复、病人易接受等优点。我院于1995年7月至1996年5月使用西安工业学院电子技术研究所生产的CQ-Ⅱ型超声前列腺治疗仪,治疗急、慢性前列腺炎80例,取得满意疗效。现报告如下:     

毫米波对慢性前列腺炎治疗作用的临床观察

目的:探讨毫米波对慢性前列腺炎的临床治疗作用.方法:采用毫米波仪治疗慢性前列腺炎(Ⅱ型和Ⅲ型),辅以适当的药物治疗及生活调理,观察治疗效果.结果:经毫米波治疗后,患者的临床症状明显改善,CPSI评分显著下降.其中Ⅱ型总有效率82.76%,Ⅲ型总有效率88.24%.结论:毫米波是治疗慢性前列腺炎的有效理疗手段,对Ⅲ型前列腺炎尤为有效.     

前列腺灌注管加压灌注药物治疗慢性前列腺炎

目的：观察应用前列腺灌注管加压灌注药物治疗慢性前列腺炎的效果。方法：对１７６例慢性前列腺炎患者经尿道置入前列腺灌注管加压灌注药物并联合多功能前列腺治疗仪治疗。结果：１７６便中治愈１３４例,好转３２例,有效率９４．３％。治疗后随访６￣１８个月,８例复发。结论：应用前列腺灌中压灌注药物并联合多功能前列腺治疗仪治疗慢性前列腺炎具有疗效好,副作用少的优点,是治疗慢性前列腺炎可供选择的有效方法之一。     

综合治疗慢性前列腺炎/慢性盆腔疼痛综合征的远期疗效

慢性前列腺炎是一种与多种因素有关、流行较广的疾病,许多人尽管经过常规治疗多年,但是疗效不佳。作者对53名长期慢性前列腺炎患者进行分步综合治疗,并且应用美国国立卫生研究院慢性前列腺炎症状指数积分进行随访,至少6月。治疗方法包括抗生素、前列腺按摩、抗炎植物药、α受体阻     

慢性前列腺炎治疗过程中精液质量变化的观察

目的研究慢性前列腺炎对男性生育力的影响。方法对112例男性前列腺炎患者（CP组）和96例相同年龄组健康人群（NCP组）的精液进行比较、分析;对CP组患者行口服抗生素＋α受体阻滞剂治疗之后复查精液,对比治疗前、后数据。结果慢性前列腺炎患者精液中反映生育功能的关键指标与健康男性差异有统计学意义,对慢性前列腺炎患者行口服抗生素＋α受体阻滞剂治疗之后,精液质量有显著改善。结论慢性前列腺炎对男性的精液质量有不利影响;治疗慢性前列腺炎有助于男性提高精液质量。     

慢性前列腺炎与大便异常浅析

目的 :探讨大便异常改变在慢性前列腺炎中的发生情况、产生原因和意义。　方法 :观察慢性前列腺炎病人大便异常改变的发生情况 ,对其产生的常见原因 ,包括病程、植物神经功能紊乱、前列腺液的炎症程度、前列腺直肠指检结果等进行分析 ,并随访观察前列腺炎得到有效治疗后的大便异常改善情况。　结果 :397例慢性前列腺炎病人大便异常改变的发生率为 31 4 0 % ;其原因与前列腺的直肠指检充血肿胀程度密切相关 ,通过有效治疗慢性前列腺炎后 ,病人的大便异常明显改善率高达 78 79%。　结论 :慢性前列腺炎病人产生大便异常改变的原因在于前列腺的充血肿胀改变 ,认为大便异常改变应作为慢性前列腺炎病人的临床常见症状和治愈指标之一。     

慢性前列腺炎病人的尿动力学变化和治疗

慢性前列腺炎是中青年男性泌尿生殖系统的常见病和多发病 ,其病因复杂。近年来 ,国内外学者对慢性前列腺炎病人的尿动力学变化和治疗方案展开了深入的研究 ,发现该病在尿动力学方面主要表现为尿流率降低、下尿道阻力增加、膀胱功能改变和逼尿肌 括约肌的协同失调等。现就上述病因和治疗等方面的关系作一回顾性综述 ,为慢性前列腺炎的尿动力学变化的临床研究提供参考。     

Questionnaire survey of Japanese urologists concerning the diagnosis and treatment of chronic prostatitis and chronic pelvic pain syndrome

OBJECTIVES: We performed a questionnaire survey to investigate various issues in the diagnosis and treatment of chronic prostatitis/chronic pelvic pain syndrome by Japanese urologists and to clarify the circumstances surrounding prostatitis in Japan. METHODS: Japanese urologists (n = 1869) were surveyed by mail using a 17-item questionnaire to determine current diagnostic and treatment practices for prostatitis/chronic pelvic pain syndrome. RESULTS: Only 1.5% (11/739) of urologists diagnosed chronic prostatitis/chronic pelvic pain syndrome using the 4-glass test, while most did so using the 2-glass test (voided bladder [VB]2 and VB3, or VB2 and expressed prostatic secretion [EPS]). Approximately half (55.2%; 412/746) did not perform urine cultures to differentiate chronic bacterial prostatitis from chronic abacterial prostatitis/chronic pelvic pain syndrome. Approximately half (46%; 343/746) did not count the number of leukocytes in VB2 or VB3/EPS to differentiate chronic abacterial prostatitis from chronic pelvic pain syndrome. Although many urologists (63.8%; 459/720) thought that chronic abacterial prostatitis/chronic pelvic pain syndrome was not an infectious disease, many chose antimicrobial agents as the primary treatment. More than half (52.2%; 384/735) of all urologists felt pessimistic about dealing with chronic prostatitis/chronic pelvic pain syndrome compared to treating benign prostatic hypertrophy or prostate cancer, because of the high number of complaints by patients and their own lack of confidence in diagnosing and treating the condition. CONCLUSION: There is much confusion and frustration among Japanese urologists about chronic prostatitis/chronic pelvic pain syndrome. Further studies are needed to elucidate its etiology and pathogenesis, and to establish guidelines for its diagnosis and treatment.     

慢性前列腺炎与性功能障碍的调查分析

目的 :调查慢性前列腺炎患者性功能障碍的患病率及其与年龄、病程的关系。　方法 :对 2 0 0 0例患者进行了问卷调查 ,内容包括 :①年龄、身高、体重、职业、病程、治疗情况等 ;②国际前列腺炎症状评分指数表 (NIH CPSI) ;③勃起功能国际指数问卷 5 (IIEF 5 )。　结果 :176 8份调查表有效 (88.4 % )。慢性前列腺炎患者性功能障碍的患病率为 4 9.0 % ,其中 ,早泄占 2 6 .4 % ,勃起功能障碍占 14 .9% ,早泄合并勃起功能障碍占 7.7%。　结论 :慢性前列腺炎患者性功能障碍的患病率较高 ,患病率与患者年龄及病程呈负相关。     

慢性前列腺炎诊治中值得关注的几点问题

慢性前列腺炎是泌尿外科最常见的疾病之一,患病率高．治愈率低,易于复发。世界各地报道患病率不同,患暂症状多变。目前,该病病因不明,发病机制不清．缺乏大家公认的诊断标准,治疗方案与疗效判断也存在争议。正确对待慢性前列腺炎．不仅是患者的事情．而且对泌尿外科医生也至关重要。     

Role of alpha blocker therapy in chronic prostatitis/chronic pelvic pain syndrome: limited options with promising results

Chronic prostatitis / chronic pelvic pain syndrome (NIH-type II and type III prostatitis) are common cause of chronic pelvic pain. The exact etiology of these entities are unknown. They are associated with varying degree of voiding and sexual dysfunction. Consensus regarding treatment of these pain syndromes is lacking. Review of literature suggest a therapeutic role of alpha adrenergic receptor blockers in the management of NIH-type II and type III prostatitis. A trial of alpha-blocker is reasonably inexpensive and appropriate for most patients suffering from NIH-type III prostatitis and NIH-type II prostatitis. A general consensus is that if a patient agrees to a trial of alpha-blocker therapy which subsequently shows a good response then it should be continued for at least 6 months for a proper therapeutic effect. This review analyses the role of alpha-blockers in this disease/syndrome; discusses the possible mechanism of action through which these drugs provide relief and also highlights some of the important trials which have paved way for this particular treatment option in this intriguing disease /syndrome.     

Advanced therapy for prostatitis: Minimally invasive and invasive therapies

The clinical syndromes of chronic prostatitis range from well-defined chronic bacterial infections to poorly defined chronic pelvic pain syndrome, previously referred to as prostatodynia and abacterial prostatitis. Faced by the obscure nature of the disease, its protracted course, and the poor response to oral medication, urologists have considered alternative treatment options. This article reviews the indications and outcomes of minimally invasive and invasive therapies for chronic prostatitis syndromes and discusses their potential use and benefits.     

前列腺炎诊治中几个问题的探讨

目的提高前列腺炎的诊治水平。方法对近5年来临床工作中遇到的前列腺炎漏诊、误诊及认识有误的病例进行分析、探讨。结果有12例急性前列腺炎被误诊、漏诊，其中5例误诊为上呼吸道感染，7例诊断为尿路感染。15例前列腺增生（BPH）伴慢性前列腺炎者，漏诊了前列腺炎。17例慢性前列腺炎伴有其它泌尿生殖系疾病者，漏诊了其中之一。15例前列腺液常规中白细胞数与前列腺炎严重程度及治疗效果不一致。4例B超检查提示前列腺炎，患者无不适，按前列腺炎治疗后反而出现症状。结论前列腺炎诊治中尚存在一些问题。临床工作中需开阔思路，多做肛指检查。对症状、体征、前列腺液检查、B超检查结果等进行综合考虑，才能作出正确的诊断和治疗。     

Prevalence of sexual dysfunction in Chinese men with chronic prostatitis

OBJECTIVE: To investigate the prevalence and risk factors of sexual dysfunction in Chinese men with chronic prostatitis. PATIENTS AND METHODS: A questionnaire survey was conducted among 2000 men diagnosed as having chronic prostatitis using the National Institutes of Health Chronic Prostatitis Index and analysis of expressed prostatic secretions. The survey was designed to elicit information about age, height, weight, occupation and history of disease and treatment. The erectile capacity of the men was assessed using the five-question version of the International Index of Erectile Function. RESULTS: Of the 2000 men with chronic prostatitis selected, 1786 completed the survey; the overall prevalence of sexual dysfunction in these patients was 49%. The prevalence of premature ejaculation and erectile dysfunction accounted for 26% and 15%, respectively; 7.7% had both premature ejaculation and erectile dysfunction. There was a negative correlation between prevalence and age, and with the duration of chronic prostatitis (both P < 0.001). CONCLUSIONS: The prevalence rate of sexual dysfunction in Chinese men with chronic prostatitis is high and related to age.