良性前列腺增生合并慢性前列腺炎的临床分析

目的:对良性前列腺增生(BPH)合并慢性前列腺炎的发病情况进行分析和探讨。方法:对213例已确诊为BPH患者进行前列腺按摩液(EPS)常规检查及EPS细菌培养,支原体、衣原体检测和血清PSA检测。对合并慢性前列腺炎的患者,进行抗炎治疗前后的BPH症状评分(IPSS)比较。结果:213例BPH患者中,合并慢性前列腺炎69例(32.4%),EPS细菌培养阳性27例(12.7%),EPS支原体、衣原体检测,15例阳性(7.0%)。合并慢性前列腺炎的患者中有7例PSA异常(>4μg/L)。69例合并慢性前列腺炎的患者经抗炎治疗后,IPSS由治疗前(12.2±2.6)分,降为治疗后(10.5±2.3)分,差异有显著性(P<0.01)。结论:BPH患者进行EPS检查,以明确是否合并有慢性前列腺炎,对临床上明确诊断、选择治疗药物或手术方式,提高疗效及减少并发症都有着重要意义。

A Clinical Analysis of Benign Prostatic Hyperplasia with Chronic Prostatitis

OBJECTIVE: To study the incidence of benign prostatic hyperplasia (BPH) complicated by chronic prostatitis. METHODS: We performed routine examinations and bacterial culture of the expressed prostate secretion (EPS) for 213 cases of BPH, detected mycoplasma, chlamydia and serum PSA, and compared the results of IPSS of those complicated with chronic prostatitis before and after a 4-week anti-inflammatory treatment. RESULTS: Of the total cases, 69 (32.4%) were complicated by chronic prostatitis, 27 (12.7%) EPS positive and 15 (7.0%) mycoplasma and chlamydia positive. Among the 69 cases of chronic prostatitis, 7 were found with an elevated level of PSA (> 4 microg/L), and 43 with the mean IPSS score decreased from (12.2 +/- 2.6) before anti-inflammatory treatment to (10.5 +/- 2.3) after it (P < 0.01). CONCLUSION: EPS examination should be performed for patients with BPH, which is highly significant for the diagnosis of prostatitis, choice of medical or surgical treatment, improvement of therapeutic effect and reduction of complications.