267例性病患者前列腺液病原学检测及治疗观察

Etiological Detection of Prostatic Fluid in 267 Patients with Venereal Diseases and the Related Treatment

为探讨性病与前列腺炎的关系，本研究对267例性病患者的前列腺液进行了普通细菌、解脲支原体（UU）、人型支原体（MH）培养及聚合酶链反应（PCR）检测淋球菌（NG）、沙眼衣原体（CT）等检查。结果128例患前列腺炎（47．94％），检得NG7例（5．4％），UU34例（26．56％），CT22例（17．19％），MH10例（7．81％）。阿奇霉素间歇4周疗法，上述病原体清除率分别为100％、73．08％、94．74％、50．00％。本研究结果提示：性病患者中前列腺炎患病率高；UU、CT可能为性病合并NBP的主要病原体；阿奇霉素对治疗前列腺NG、CT、UU感染效果较好。

To investigate the relation between the sexually transmitted diseases and prostatitis,expressed prostatic secretion from 267 patients with venered diseases were tested for common bacteria,ureaplasma urealyticum(UU) and mycoplasma hominis(MH) (by culture method);for gonococcus(NG) and chlamydia trachomatis (CT) (by a polymerase chain reaction(PCR )assay). The results showed: 128 patients suffered from prostastitis (47. 94 % ); the positive specimens were: 7 cases with NG(5. 4 % ), 34 cases with UU (26. 56 % ), 22 cases with CT (17. 19 % ), 10 cases with MH(7. 81 % ). With intermittent therapy of Azithromycin for 4 weeks,the climinated rate of the pathogenic microorganisms mentioned above was 100. 00%, 73. 08%,94. 74%,50. 00%,respectively. The results of this study indicate that there are high infection rates of prostatitis in STD patients. UU and CT may be the main infectious factors of STDs with NBP;the treatment with Azithromycin in prostate infection of NG,CT,UU has received an effective result.