青少年慢性盆底疼痛综合征临床分析

Clinical analysis of adolescent chronic pelvic pain syadrome

目的 :探讨青少年慢性盆底疼痛综合征 (CPPS)或慢性非细菌性前列腺炎 (CNBP)的临床特点及治疗方法。方法 :依据美国国立卫生研究院 (NIH)前列腺炎的诊断标准 ,将 30例青少年患者分为Ⅲa 型 8例 ,Ⅲb 型2 2例 ;按前列腺炎症状严重程度评分 (SSI)进行分组治疗 ,规律性治疗 1～ 3个月。全部患者均配合精神心理及物理疗法 ,部分患者服用清热解毒和 (或 )活血化瘀类中药。Ⅲa 型患者以广谱抗生素及α1 受体阻滞剂治疗为主 ,Ⅲb 型则分别给予α1 受体阻滞剂及镇静镇痛肌松治疗。结果 :治疗后SSI评分降低 ,显效 18例 ,有效 8例 ,无效 4例 ,总有效率为 87%。结论 :青少年CPPS不完全同于成人CPPS 。

Purpose:To explore the clinical character and treatment of the adolescent chronic pelvic pain syndrome (CPPS) or chronic non bacterial prostatitis (CNBP).Methods: 30 yong cases are included with 8 being Ⅲ a stage and 22 Ⅲ b stage, according to NIH's criterion for prostatitis; patients at Ⅲ a stage are treated with antibiotics and α 1 receptor inhibitor, those at Ⅲ b stage withα 1 receptor inhibitor and diazepam, diclogenatis and other narcotics as well, all cases are additionally treated with psychological and physical therapy, Traditional medicine is also used in some cases.Results: Significant effect has been achieved in 18cases, moderate effect in 8 cases, no effect in 4 eases ,The total effect rate is 87%.Conclusions: Adolescent CPPS is not completely identical to the adult CPPS ,combined therapy is the choice of treatment.