合并化脓性炎的良性前列腺增生2例病例分析

Two cases study of benign prostatic hyperplasia combined with suppurative prostatitis

目的探讨良性前列腺增生合并前列腺化脓性炎的临床表现及诊断。方法回顾分析良性前列腺增生合并化脓性炎2例临床资料。结果 2例患者均<60岁,均以发热、感染并急性尿潴留就诊。2例患者tPSA均>100ng/mL,彩超提示前列腺增生并钙化。前列腺MRI及前列腺波谱分析(MRI/MRS)提示良性前列腺增生、前列腺炎。术后常规病理结果示良性前列腺增生并局灶化脓性炎。结论当前列腺增生患者PSA明显升高,客观检查提示前列腺炎、感染时,应积极控制感染、动态监测PSA,以降低前列腺癌的误诊率。

Objective To analyze the clinical feature and diagnosis of BPH combined with suppurative prostatitis. Methods The clinical data of two cases of BPH combined with suppurative prostatitis were retrospectively analyzed. Results The age of the two patients was less than 60. They came to hospital because of AUR with fever and infection. The tPSA of them were greater than 100ng/mL,the US prompt BPH with calcification,and the MRI/MRS prompt BPH with prostatitis.The post-operation routine pathology both diagnosed BPH with focal suppurative prostatitis. Conclusion When the tPSA of the BPH patients is significantly higher,accompanied with diagnosed infection and prostatitis,the treatment should be anti-infective therapy and dynamic monitoring serum PSA,so as to decrease the misdiagnosis rate.