性病后慢性前列腺炎59例病原体感染分析

Analysis of pathogens in 59 cases of post-urethritis chronic prostatitis

目的:了解性病后慢性前列腺炎的病原体感染情况。方法:应用淋球菌培养、细菌培养、沙眼衣原体抗原检测试剂盒、支原体培养、念珠菌培养等方法。结果:59例患者中病原体检测阳性者21例,检出率为35.59%。其中,慢性细菌性前列腺炎(CBP)14例,占23.73%,炎症性慢性无菌性前列腺炎(CABP,IIIa)12例,占20.34%,非炎症性慢性无菌性前列腺炎(CABP,IIIb)33例,占55.93%。结论:性病后慢性前列腺炎以非炎症性慢性无菌性前列腺炎最常见,性传播疾病病原体并不是性病后慢性前列腺炎的主要致病因素。

Objective: To determine the pathogens in 59 cases of post-urethritis chronic prostatitis (PUCP). Methods: The Chlamydia trachomatis was detected by clearview chlamydia assay. The other pathogens were detected by bacterial culture, and culture of Neisseria gonorrhoeae, Ureaplasma utrealyticum and Candida albicans. Results: The overall identification rate of pathogens was 44.1%. The diagnoses of chronic bacterial prostatitis (CBP),chronic abacterial prostatitis IIIa (CABP IIIa) and chronic abacterial prostatitis IIIb (CABP IIIb) were made in 14 (23.73%),12 (20.34%) and 33 (55.93%) cases,respectively. Conclusion: CABP IIIb was the most common form of chronic prostatitis and the STD pathogens were not the main pathogenic cause of PUCP.