性病后前列腺炎综合症186例报告

186 Cases of Prostatitis syndrome post sexually transmitted desease

目的 :提高性病后前列腺炎综合症的诊治水平。方法 :回顾分析 186例性病后前列腺炎综合症临床资料。结果 :前列腺痛 3 5 4 8% ;感染病原为UU、NG、CT共 5 0 5 3 % ,其中UU 2 2 5 8% ;霉菌 2 15 %、滴虫 3 76%、非特异菌 6 4 5 %、病原体不明 1 61% ,混合感染 2 0 96%。结论 :前列腺痛为淋病后前列腺炎综合症的病因基础 ,UU、NG、CT为主要感染病原 ,霉菌及条件致病菌感染不容忽视 ;治疗以α2 受体阻滞等对症措施为基础 ,抗生素仅在感染病原明确时 ,方需针对应用。

Objective:To improve the diagnosis and treatment of Prostatitis syndrome post sexually transmited disease(PSPSTD).Methods:Clinical data of 186 cases of PSPSTD were analysed.Results:Of these patients,those with Prostatodynia(PD)occupied 35 48%.We have proved that pathogens were mainly UU,NG and CT,and occupying a total percentage of 50 53%,and of this percentage UU was 22 58%.Besides,there were 2 15% of fungal infection,3 76% of trichomonad infection and 6 45% of non-special bacteria infection.The infection rate was about 20 96%.The total effective rate was 87 09%.Conclusions:PD had been proved to the basic pathogeny for PSPSTD.UU NG and CT were the major infectious pathogens.Fungal and conditinal bacteria were also important.The routine treatment was based on the usage of α-2 adrenergic blocker and the other way to the pathogeny.Antibiotics could be used only after we had recognized the infectious pathogens.