慢性附睾炎的临床特征(附63例报道)

Clinical features of chronic epididymitis:Report of 63 cases

目的:分析归纳慢性附睾炎的临床特征,指导诊断治疗。方法:按纳入和排除标准筛选慢性附睾炎患者63例,通过问诊、查体、问卷等收集症状、体征、性活动及相关病史、生活质量影响评分、慢性附睾炎症状评分等,评估其与慢性附睾炎相关性,总结该病临床特征。结果:病例组与对照组年龄结构、民族、文化程度、吸烟饮酒等情况大致相同。病例组性伴侣人数、有尿路感染病史患者百分率均高于对照组,但差别无统计学意义。病例组中92.1%的患者可发现附睾肿大、压痛;75.5%的患者有阴囊疼痛症状;病例组慢性附睾炎症状评分(CESI)(7.9±4.6)高于对照组(4.4±3.2)(t=14.5,P<0.05),生活质量影响评分(12.5±5.6)亦显著高于对照组(8.5±4.2)(t=21.3,P<0.05)。结论:慢性附睾炎附睾肿大压痛体征明显,疼痛症状影响生活质量。与性伴侣人数、尿路感染病史有一定相关性,但有待进一步加大样本研究证实。

Objective： To summarize the clinical features of chronic epididymitis （CE） for the purpose of improving its diagnosis and treatment. Methods： According to the specific inclusion and exclusion criteria, we selected 63 CE patients in this study, obtained the data on their symptoms, signs, sexual activities, histories of related diseases, impact on quality of life and CE symptom indexes （CESI） by interrogation, physical examination and questionnaires, assessed their correlation with CE, and summarized the clinical features of the disease. Results ： The case group showed a similarity to the controls in age, ethnicity, education, smoking and drinking, but significantly larger numbers of sexual partners and patients with a history of urinary tract infections than the latter. Epi- didymal swelling and tenderness were found in 92.1% , and serotal pain in 75.5 % of the CE patients. CESI and the score of the im- pact on quality of life were 7.9 ± 4.6 and 12.5 ± 5.6 in the case group, significantly higher than in the controls （4.4 ± 3.2 and 8.5 ± 4.2） （ P 〈 0.05）. Conclusion ： The significant signs of chronic epididymitis are epididymal swelling and tenderness, which affect the patientquality of life. The association of chronic epididymitis with the number of sexual partners and history of urinary tract infections are yet to be further confirmed by larger-sample studies. NatlJAtutrol, 2012, 18 （3） ： 257-259