青少年慢性盆底疼痛综合征临床分析

Clinical analysis of adolescent chronic pelvic pain syndrome

目的探讨青少年慢性盆底疼痛综合征（CPPS）或慢性非细菌性前列腺炎（CNBP）的临床特点及治疗方法。方法依据美国国立卫生研究院（NIH）前列腺炎的诊断标准，将30例青少年患者分为Ⅲa型8倒，Ⅲb型22例；按前列腺炎症状严重程度评分（SSI）进行分组治疗，规律性治疗1-3个月。全部患者均配合精神心理及物理疗法，部分患者服用清热解毒和（或）活血化瘀类中药。Ⅲa型患者以广谱抗生素及α1-受体阻滞剂治疗为主。Ⅲb型则分别给予α1-受体阻滞剂及镇静镇痛肌松治疗。结果治疗后SSI评分降低，显效18例，有效8例，无效4例，总有效率87％。结论青少年CPPS不完全同于成人CPPS，综合性治疗是一种有效的方法。

Objective To explore the dinical characteristics and treatment of the adolescent chronic peh, ic pain syndrome（ CPPS ） or chronic non - bacterial prostatitis （CNBP）. Methods Thirty yong cases itwluded with 8 being Ⅲa stage and 22 Ⅲ b stage, according to Nlft＇ S criterion for prostatitis ; patients at Ⅲ a stage were treated with antibiotics and a1 receptor inhibitor, those at m b stage with a; receptor inhibitor and diazepam, diclogenatis and other narcotics as well, all cases were additionally treated with psychological and physical therapy. Traditional medicine were also used in some cases. Results Significant effect has been achieved in 18 cases. Moderate effect in 8 cases no effect in 4 cases. The total effect rate was 87%. Conclusion Adolescent CPPS is not completely identical to the adult CPPS, combined therapy is the choice of treatment.