尿道炎后慢性前列腺炎病原体分析

Analysis of pathogens in patients with post-urethritis chronic prostatitis

目的 : 了解尿道炎后慢性前列腺炎的病原体感染情况。方法 : 用“立明”沙眼衣原体抗原检测试剂盒检测沙眼衣原体 ,细菌培养、淋球菌培养、支原体培养、真菌培养等方法 ,自 2 0 0 1年 5月～ 2 0 0 1年12月对 15 0例尿道炎后慢性前列腺炎病原体进行了检测。结果 : 15 0例患者中病原体检测阳性者 5 3例 ,检出率为 35 .33%。其中 ,慢性细菌性前列腺炎 (CBP) 4 0例 ,占 2 6 .6 7%,炎症性慢性无菌性前列腺炎(CAP ,ⅢA) 2 5例 ,占 16 .6 7%,非炎症性慢性无菌性前列腺炎 (CAP ,ⅢB) 85例 ,占 5 6 .6 7%。结论 : 尿道炎后慢性前列腺炎以ⅢB最为多见 ,性传播疾病病原体不是慢性前列腺炎的主要致病因素。

Objective: To investigate the pathogens of post-urethritis chronic prostatitis (PUCP).Method: 150 cases with post-urethritis chronic prostatitis were studied, the chlamydia trachomatis was detected by clearview chlamydia assay. bacteria, Neisseria gonorrhoeae, Ureaplasma utrealyticum, Candida albicans etc. were detected by culture, and herpes simplex virus by PCR from May to Dec 2001. Results: The overall identification rate of pathogens was 35.33%. CBP, CAP(ⅢA) and CAP(ⅢB) accounted for 26.67%, 16.67% and 56.67%, respectively. Conclusion: CAP (ⅢB) was the most common form of chronic prostatitis. The STD pathogens were not the main pathogenic factor of PUCP.