急性前列腺炎的诊治(附35例报告)

目的:提高急性前列腺炎的诊治水平。方法:回顾性分析2001年1月~2004年3月35例急性前列腺炎的诊治结果,均采用抗感染、对症处理、支持等治疗,2例伴前列腺脓肿行外科引流,3例急性尿潴留者予留置尿管处理。结果:所有患者治疗3~5 d体温正常,血、尿常规及尿培养、B超检查1~2周恢复正常,排尿困难者最大尿流率改善。结论:急性前列腺炎患者在确诊后应早期、足量、长程应用敏感抗生素,并给予相应的对症治疗,有脓肿形成者应行外科引流。

The Diagnosis and Treatment of Acute Prostatitis: Report of 35 Cases

Objective: To study the diagnosis and treatment of acute prostatitis.Methods: The data of 35 cases of acute prostatitis who were admitted from January 2001 to March 2004 were reviewed.The main clinical manifestations were chills,fever,frequency,urgency and dysuria.All patients were treated with antibiotics and supportive measures.Two patients underwent surgical drainage for prostate Abscess.Three patients were indwelled catheter for acute urinary retention.Results: All patients' temperatures returned to normal within 3 to 5 days.Blood and urine routine tests,urine culture and transurethral ultrasound examination results returned to normal 2 weeks later.Q maximal urinary flow rate improved in patients with dysuria.Conclusions: After diagnosis of acute prostatitis,full-dose of sensitive antibiotics should be given to all patients for some time as early as possible.At the same time,supportive therapy may be important to some patients.Surgical drainage should be used for patients with prostate Abscess.