经会阴前列腺包膜下穿刺治疗慢性前列腺炎

目的 :探讨经会阴前列腺包膜下穿刺注射药物治疗慢性前列腺炎的效果。　方法 :对 4 0例难治性慢性前列腺炎患者的前列腺液进行细菌培养和药敏试验 ,选择一种敏感抗生素 ,加入地塞米松和利多卡因的混合液中行经会阴前列腺包膜下注射 ,隔 7d注射 1次 ,4次为 1个疗程 ,治疗后 1个月评价其疗效并随访 6个月。　结果 :4 0例慢性前列腺炎患者中治愈 2 1例 (5 2 .5 % ) ,有效 16例 (40 % ) ,无效 3例 (7.5 % ) ,总有效率达 92 .5 %。 2 8例获 6个月随访 ,无 1例复发。　结论 :经会阴前列腺包膜下穿刺注射药物治疗慢性前列腺炎是一种安全有效、治愈率较高的治疗方法。

Transperineal Puncture Drug Injection in the Treatment of Chronic Prostatitis

Objective: To investigate the effect of transperineal puncture drug injection in the treatment of chronic prostatitis. Methods: Forty cases of chronic prostatitis underwent transperineal puncture drug injection. Bacterial culture and antimicrobial agent sensitivity tests were conducted on the prostatic fluid of the patients. A sensitive antimicrobial agent was selected, mixed with lidocaine and dexamethasone, and injected transperineally into the prostate at intervals of 7 days and 4 times as one course. After one month, the effect was evaluated and the patients were followed up for 6 months. Results: Among the 40 cases,the cure rate was 52.5%(21/40), the alleviation rate 40%(16/40), the nullity rate 7.5%(3/40) and the total effectivity rate 92.5%. No relapse was found in the 28 followed-up cases. Conclusion: Transperineal puncture drug injection is a safe and effective way in the treatment of chronic prostatitis.