性传播疾病后慢性前列腺炎诊治(附368例报告)

Diagnosis and therapy of chronic prostatitis following sexually diseases (report of 368 cases).

目的总结研究性病后慢性前列腺炎病因特点及诊治。方法回顾性分析,对368例性传播疾病后,慢性前列腺炎患者进行病原体检测。结果 368例慢性前列腺炎患者,病原体检出率为53.4%,以解脲支原体,金黄色葡萄球菌,大肠杆菌,沙眼衣原体,淋病双球菌及表皮葡萄球菌为主。其中70.8%患性传播疾病后者金黄色葡萄球菌、淋病双球菌、表皮葡萄球菌及多种病原体混合感染明显多于未患性传播疾病者。85.7%金黄色葡萄球菌及76.4%的表皮葡萄球菌产生β-内酰胺酶。37.2%的患者治愈,39.4%好转。结论前列腺液病原体检查,对指导性传播疾病慢性前列腺炎的治疗及心理治疗具有重要临床意义。患性传播疾病后前列腺炎患者,治愈率及好转率明显低于未患者。同时还应注意患者病情改变和性病后药物和心理治疗。

Objective The etiologic factors have been in evaluated.Methods 368 patients with chronic prostatitis following sexually sexually transmitted diseases（STD）.Results 368 cases with chronic prostatitis,The detective rate of pathogens was 53.4%,and the majority of them were ureaplasma urealyticum（UU）,staphylococcus aureus（SA）,colon bacillus,chlanydia trachomatis（CT）,neisseria gonorrhoeae（NG）and staphylococcus epidermidis（SE）,SA,SE,NG and the inflammation with many pathogens were found to be significantly more in the cases haven STD than that haven not.85.7% SA and 76.4% SE could produce β-lactamases.The rate of cure ante of cure and improvement were 37.2% and 39.4% Conclusion The results indicate that pathogen examination palys an important role in treatment of chronic prostatitis following STD,respectively and were found to be worse in the cases haven STD than that haven not.Meanwhile much attention should be paid to the obstructive urodynamic change and psychological treatment.