慢性前列腺炎合并精索静脉曲张526例总结

Summary of chronic prostatitis combined with varicocele on 526 cases

目的 总结慢性前列腺炎（CP）合并精索精脉曲张（VC）诊断和治疗经验.方法 526例CP合并VC行超选择性精索内静脉高位结扎术.术后根据CP分型、慢性前列腺炎症状指数（CPSI）评分进行4～8周个体化治疗.结果 术后3个月彩色多普勒血流显像仪（CDFI）测量精索静脉内径小于1.8mm468例,1.8mm以上58例.术后2个月526例患者的CPSI由治疗前19.2 ±4.8减少到治疗后的4.8±3.4,CPSI分值减少15.8;前列腺液常规正常388例（73.3%）,细菌培养转阴146例（79.7%）,手术前后对比,差异有显著性意义（p＜0.01）.结论 CP合并VC的患者在精索内静脉结扎术后明显提高了CP的疗效.

Objectives To summarize diagnostic and therapeutic experience of chronic prostatitis combined with varicocele. Methods 526 varicocele patients with chronic prostatitis underwent superselective high ligation of the internal spematic veins. After operation,all the patients had individual treatment in 4-8weeks according to the type of CP and Chronic Prostatitis Symptom Index（CPSI）. Results The diameter of spermatic vein〈1.8mm in 468 cases, while the diameter of spermatic vein 〉 1.8mm in 58 cases in 3 months after operation. The CPSI scor e in 526 patients was decreased from 19.2 ±4.8 before treatment to 4.8 ± 3.4 after treatment. CPSI score decreased by 15.8. Routine examination of the prostatic secretions became normal in 388 cases（73.3% ） ,and bacterial culture became negtive in 146 cases（79.7% ）. There was significant difference before and after operation. Conclusions In CP patients combined with VC, the curative effect was improved by superselective high ligation of the internal spematic veins.