真菌性前列腺炎的治疗和预防

目的总结探讨真菌性前列腺炎的治疗方法及预防措施。方法 16例慢性前列腺炎患者,年龄24～43岁,病程6～24个月,治疗不规范、多种抗生素轮番使用,时间数月～2年不等。前列腺液常规检查：卵磷脂小体＋～＋＋,WBC＋～＋＋＋,普通细菌培养无细菌生长,支原体、衣原体检测阴性,16例患者EPS中发现霉菌孢子——为念珠菌。NIH评分：13～35分,11例患者有神经官能症症状。诊断为真菌性前列腺炎。立即停止使用抗生素,评价患者的肝功能状况,然后给予易启康（依曲康唑）0.1 g,3次/d,口服,4周。同时,对患者进行健康指导,使患者了解前列腺炎的相关知识。结果本组患者给予抗真菌药物治疗后,用药2周,症状明显减轻,NIH评分下降,8～18分,EPS：卵磷脂小体＋＋～＋＋＋,WBC＋～＋＋;4周时,症状基本消失,NIH评分4～8分,EPS：卵磷脂小体＋＋＋～＋＋＋＋,WBC〈10/HP。对前列腺炎的恐惧心理消失。结论对前列腺炎规范的治疗,是避免出现真菌性前列腺炎的重要方法。真菌性前列腺炎的诊断确立后,应立即停用广谱抗生素、停止穿刺插管等治疗,给予有效、足量的抗真菌药物治疗。对患者的健康教育和指导是治疗和预防真菌性前列腺炎的重要内容。加强科普宣传,加强对不法行医者和不法广告宣传的整治是防止扩大诊断、扩大治疗的重要环节。

Treatment and Prevention of Fungal Prostatitis

Objective To review and investigate the treatment and prevention of Fungal prostatitis.Methods The clinical data of 16 cases of chronic prostatitis were reviewed.Range of age was 24-43;courses of disease were 6-24 months.All patients received the treatment of non-standard antibiotic therapy for several months to 2 years.EPS showed:lecithin bodies + to ++,WBC + to +++.Urine culture:no bacteria growth;detection of mycoplasmata and chlamydiae:negative results.Candida spores were detected in all 16 cases.NIH sc...