良性前列腺增生合并前列腺结核的诊治体会

Diagnosis and Treatment of Benign Prostatic Hyperplasia Complicated with Prostate Tuberculosis

目的:加深对良性前列腺增生合并前列腺结核的认识,提高诊疗水平。方法:回顾性分析我院2004~2018年收住7例良性前列腺增生合并前列腺结核患者的临床资料。结果:7例患者均依靠病理检查确诊,其中4例行前列腺切除术,3例行前列腺穿刺。术后均接受抗结核治疗,疗效满意,复诊症状明显减轻。结论:良性前列腺增生合并前列腺结核易与单纯良性前列腺增生或前列腺癌混淆,确诊依靠病理检查。一经确诊,应及时应用抗结核药物,防止并发症。

Objective: To deepen the understanding of benign prostatic hyperplasia with prostate tuberculosis and improve the level of diagnosis and treatment. Methods: The clinical data of 7 patients with benign prostatic hyperplasia complicated with prostate tuberculosis admitted to our hospital from 2004 to 2018 were retrospectively analyzed. Results: Seven patients with benign prostatic hyperplasia complicated with prostate tuberculosis were diagnosed by pathological examination. Four patients underwent prostatectomy and 3 underwent prostate biopsy. All patients received anti-tuberculosis treatment after operation, the results were satisfactory, and the symptoms of returning were significantly reduced. Conclusion: Benign prostatic hyperplasia with prostatic tuberculosis is easily confused with simple benign prostatic hyperplasia or prostate cancer.The diagnosis depends on pathological examination. Once diagnosed, anti-tuberculosis drugs should be applied in time to prevent complications.