肉芽肿性前列腺炎(附五例报告)

Granulomatous prostatitis(report of 5 cases)

目的 探讨肉芽肿性前列腺炎的临床特点。 方法 回顾分析１９８５ ～１９９６ 年５ 例经病理证实的肉芽肿性前列腺炎资料。 结果 ４ 例为非特异性肉芽肿性前列腺炎，３ 例行开放手术，１例抗炎治疗。１ 例为特异性肉芽肿性前列腺炎，系由膀胱内灌注ＢＣＧ后引起，行抗结核治疗。５ 例平均随访４１ ．５ 个月，效果满意。 结论 肉芽肿性前列腺炎临床上极易与前列腺癌混淆，应引起重视。确诊依靠病理检查。

Objective To explore the clinical features of granulomatous prostatitis(GP). Methods From 1987～1996,5 cases of GP confirmed histologically were retrospectively analysed. Results 4 cases of non specific GP,of which 3 cases undergone open surgery and 1 case with antimicrobial therapy,and 1 case of specific GP following intravesical BCG therapy treated by antituberculosis therapy were followed up for an average of 41.5 months.The therapeutic results were satisfactory. Conclusions Clinically,GP was often mistaken for prostatic carcinoma,so attention should be paid to the diffrential diagnosis.The final diagnosis should rely on histological examination.