慢性附睾炎临床相关因素的调查研究

The investigation and study on clinical related factor of chronic epididymitis

目的 探讨慢性附睾炎的临床特征及潜在危险因素。方法 选择本院2009年2月～2013年12月收治的慢性附睾炎患者60例为观察组及同期本院体检的健康男性60例为对照组，调查两组患者人口学资料、症状体征、性活动及相关病史，并比较两组患者的生活质量影响评分、疼痛评分。结果 两组的年龄、民族、文化程度、吸烟和饮酒比例等比较差异无统计学意义（P〉0．05）。观察组的性伴侣人数、有泌尿生殖病史者明显多于对照组，疼痛评分、生活质量影响评分明显高于对照组，差异有统计学意义（P〈0．05）。前列腺炎、尿路感染、性传播疾病、阴囊手术史及性伴侣人数是导致慢性附睾炎的独立危险因素（P〈0．05）。观察组中93．3％的患者存在附睾肿大、压痛，83.3％的患者存在阴囊疼痛。结论 慢性附睾炎患者存在明显的附睾肿大、压痛情况，影响生活质量，前列腺炎、尿路感染、性传播疾病、阴囊手术及性伴侣人数可能是慢性附睾炎的潜在危险因素。

Objective To investigate the clinical features and potential risk factors of chronic epididymitis. Methods 60 patients with chronic epididymitis in our hospital from February 2009 to December 2013 were selected as observation group and 60 cases of healthy male in the same period as control group.The demographic data,symptoms and signs, activities and related history of all patients were investigated,the affected score on quality of life and pain score of two groups was compared respectively. Results The age,ethnicity,education level,smoking,alcohol consumption proportion in two groups was compared respectively,with no statistical difference （P〉0.05）.The number of sexual partners and genitourinary history in observation group was more than that in control group respectively,the affected score on quality of life and pain score in observation group was higher than that in control group respectively,with statistical difference（P〈 0.05）.Prostatitis,urinary tract infections,sexually transmitted diseases,scrotal surgeries and number of sexual partners is an independent risk factor for chronic epididymitis respectively （P〈0.05）.93.3% of patients in observation group were found with epididymal enlargement,tenderness,83.3% of patients was found with scrotal pain. Conclusion There is obvious epididymal enlargement and tenderness in patients with chronic epididymitis,significantly affect the quality of life. Prostatitis,urinary tract infections,sexually transmitted diseases,scrotal surgeries and number of sexual partners may be potential risk factors for chronic epididymitis.