摘要
目的探讨急性衣原体性附睾炎的诊断、治疗及预后.方法采用衣原体培养法确诊急性衣原体性附睾炎,用大环内酯类抗生素加皮质激素,双疗程治疗,3～6个月后检测精液质量以考察急性衣原体性附睾炎对生殖力的影响.结果 28例患者治疗2周后症状消失,治疗3～6个月后24例患部未扪及结节,2例复发患者症状改善.治疗组精液参数与对照组无统计学差异.结论大环内酯类抗生素加用皮质激素双疗程能有效控制急性衣原体性附睾炎,患者经积极正规治疗后对生殖力未见明显影响.关健词:附睾炎;沙眼衣原体;诊断;治疗;
Objective To study the the therapy and prognosis of the acute chlamydial epididymitis, Methods 18 patients diagnosed as acute chlamydial epididymitis with microbial isolation in MacCoy cell culturing were treated with marolide antibiotics（Josamycin tablet） plus corticotherapy（30mg oral prednisolone daily for 21days,then 5mg every other day） for 4 weeks of double courses. Evaluating the prognosis by semen analysis 3-6 months after the therapy. Results The symptoms of all 28 cases disappeared two weeks after treatment. 24 cases of them were physically checked normal in the scrotum 3-6 months after treatment, Recurrence occurred in 2 cases. There were no differences in all parameters of semen analysis between the treating group and control group. Conclusion Josamycin plus corticotherapy and double therapeutic courses is effective in treating the acute chlamydial epididymitis and the semen quality of patients after therapy is not affected.
出处
《重庆医学》
CAS
CSCD
2005年第11期1675-1676,共2页
Chongqing medicine
关键词
附睾炎
沙眼衣原体
诊断
治疗
精液分析
epididymitis
chlamydia trachomatis
diagnosis
therapy
semen analysis
