前列腺增生电切术后残留前列腺炎的诊断与治疗

Diagnosis and treatment of prostatitis after TURP

目的探讨经尿道前列腺电切（TURP）术后残留前列腺炎（CP）的诊断与治疗。方法85例TURP术后残留前列腺炎患者随机分成A、B二组，A组：前列腺注药、按摩加体外高频热疗，B组：抗生素加盐酸坦索罗辛加保列治治疗，二种方法治疗2个月，对比分析二种方法的疗效。结果A、B二组的CPSI平均分值分别减少15．3±3．0，10．7±2．2；A、B二组的EPS镜检WBC〈10／HP者分别为88．4％、72．1％；A、B二组细菌转阴率分别为88．8％、81．6％。结论前列腺注药按摩加体外高频热疗治疗TURP术后残留前列腺炎的疗效优于抗生素加盐酸坦索罗辛加保列治。

Objectives To study the Diagnosis and treatment of prostatitis after Transurethral prostatectomy （TURP）. Methods A total of 85 patients with prostatitis after TURP were randomly divided into 2 groups： Group A ：The patients underwent combination of intraprostatic injection with drugs and high frequency thermotherapy; group B： The patients underwent combination of antibiotherapy ,tamsulosin and finasteride. The treatment course for each group was 2 months. Comparison and analysis were made on the therapeutic effects of 2 therapies. Results In 2 groups, mean CPSI scores had decreased by 15.3-3.0 and 10. 7 ~2.2 respectively; the bacterium negative rate in group A B were 88.8% and 81.6% respectively. Conclusions The curative effect of combination of intraprestatic injection with drugs and high frequency thermotherapy was better than combination of antibiotherapy ,tamsulosin and finasteride.