7直线偏光近红外线经会阴部照射治疗慢性前列腺炎及其疼痛的疗效

目的：研究直线偏光近红外线（SUPER LIZER，超激光）经会阴部照射对慢性前列腺炎及其疼痛的治疗效果。方法：慢性前列腺炎伴有疼痛且口服抗生素无效患者60例，随机分为A组（超激光组，只经会阴部照射超激光）和B组（超激光加服药组除与A组一样照射超激光外还口服抗生素）。用超激光经会阴部照射前列腺部位，体位为截石位，C探头，照射厦间歇比为7：1，每次20min，每周2次，10次为1个疗程。检查治疗前后前列腺液（ESP）镜检白细胞，记录治疗前后慢性前列腺炎症状积分指数（NIH-CPSI）。结果：A组治疗后前列腺液镜检白细胞结果显示76％减少，12％无改变，12％增加；慢性前列腺炎症状积分指数以及VAS评分均明显降低；疼痛不适评分、排尿症状评分、生活质量评分有效率分别为81％、82％、81％。B组治疗前后前列腺液镜检白细胞比较结果为白细胞91％减少，3％无改变，3％增加；B组治疗后慢性前列腺炎症状积分指数以及VAS评分标均明显降低；疼痛不适评分、排尿症状评分、生活质量评分有效率分别为93％、97％、98％。A组与B组组间治疗效果比较（包括前列腺液镜检白细胞、慢性前列腺炎症状积分指数、VAS评分疗效比较厦症状改善程度）均未见明显差别。结论：超激光经会阴部照射对慢性前列腺炎及其疼痛有好的治疗效果。

Superlize Irradiation on Perineal Region in the Tratment of Chronic Prostatitic Pain

Objective:To observe the effect of Superlizer irradiation on perineal region in the treatment of chronic prostatitic pain. Methods: Sixty patients with prostatitic pain irresponsible to oral antibiotic treatment were randomly divided into group A (Superlizer treatment) and group B (Superlizer and oral antibiotic treatment group). All the patients in lithotomy position received superlizer irradiation on perineal region for 20 min each time with a power of 100%,and the time of irradiation vs intermittence was 7:1. The whole treatment process was conducted twice a week for ten times. WBC counts of patients ESP and the patients'NIH-CPSI before and after treatment were recorded. Results: In group A,WBC counts were decreased in 76% patients, no change in 12% and increased in 12% the patients. NIH-CPSI and VAS were significantly decreased. The improvement rate of pain,urination, life quality were 81% , 82%,81% respectively. In group B, WBC counts were decreased in 91% patients, no change in 3% , increased in 3%. The patients'NIH-CPSI and VAS were significantly decreased. The improvement rate of pain,urination, life quality were 93% . 97% , 98% respectively. The effect of treatment between group A and group B had no significant difference. Conclusion: Superlizer irradiation on perineal region has a good effect and provid a new way in the treatment of chronic prostatitic pain.