15例非特异性肉芽肿性前列腺炎临床报告

The clinical report of 15 nonspceific granulomatous prostatitis cases

目的探讨非特异性肉芽肿性前列腺炎的临床和病理学特点。方法回顾分析15例经直肠前列腺活检明确诊断为非特异性肉芽肿性前列腺炎病例,其中15例患者给予抗炎对症治疗,哌拉西林钠舒巴坦钠(邦达)2.4mg/d,疗程3-6周不等,7例伴严重排尿困难患者加服盐酸坦索罗辛(哈乐)0.2mg/d或者多沙唑嗪释控片(可多华)2mg/d。结果15例患者随诊3～20个月,排尿困难症状明显改善,肛门指诊(DRE)前列腺质地变软、硬结转小,血清前列腺特异抗原(PSA)明显下降。结论非特异性肉芽肿性前列腺炎极易与前列腺癌相混淆,需引起足够重视,确诊必须依靠前列腺活检。

Objective To elucidate the clinical features of nonspecific granulomatous prostatitis（NSGP）. Methods Fifteen NSGP cases comfirmed by biopsy guided by transrectal ultrasound were retrospectively analysed. Of 15 cases were treated with anti-inflammatory therapy simply, and 7 cases who concomitantly had dysury were treated with anti-inflammatory plus Q -receptor blocker. Result All of the cases were followed up for 3-20 months. The dysury were improved, texture of the hard prostate became soft, the mass became small, and the serum PSA decreased obviously.carcinoma, so special attention should be paid to the differential diagnosis. The definite diagnosis depends on histopathological examination.