包皮龟头炎120例临床分析

Clinical analysis on 120 cases of balanoposthitis

目的:分析包皮龟头炎患者的临床及相关因素,为包皮龟头炎的诊断、治疗提供依据。方法:对我院诊治的120例包皮龟头炎患者进行详细病史询问,记录临床症状、体征,并做病原学检查,对其临床资料进行回顾性分析。结果:病原菌检查阳性82例(68.33%),其中念珠菌感染48例(40%),BV(bacterial vaginosis)阳性21例(17.5%),二者混合感染13例(10.83%);包皮过长、包茎占42.5%,2型糖尿病占15%,配偶患阴道炎占31.7%。结论:念珠菌感染是包皮龟头炎发病的重要因素,包皮过长、包茎、性伴阴道炎、2型糖尿病是易感因素。

Objectives： To analyze the clinical factors associated with balanoposthitis and to provide reference clues for the diagnosis and treatment. Methods： The medical history, symptoms, signs and pathogenic examinations of 120 balanoposthitis pa- tients were recorded and analyzed retrospectively. Results： There are 82 cases with positive result of pathogenic bacteria test （ 68. 33% ）. Candida and BV infection accounted for 40% （48 cases） and 17.5% （21 cases） respectively. Mixed infection ac- counted for 10.83% （ 13 cases）. Patients with redundant prepuce and phimosis accounted for 42. 5%. There were 15% of pa- tients complicated with type II diabetes and 31.7% of patients whose spouse had the history of vaginitis. Conclusion： Candida infection is the most important pathogenetic factor for balanoposthitis which also involves risk factors of redundant prepuce, phimo- sis, sex partner with vaginitis and type II diabetes.