性病性尿道炎并发慢性前列腺炎—附84例报告

Chronic prostatitis following sexually transmitted urethritis (Report of 84 cases)

目的 :探讨性病性尿道炎并发慢性前列腺炎的病因学特点。方法 :对 84例性病性尿道炎并发慢性前列腺炎患者的前列腺按摩液 (EPS)进行病原体检测并分析结果。结果 :84例EPS细菌培养阳性 5 3例 ,阳性率 63 1% ,其中以淋球菌为主要致病菌 3 2例 ( 3 8 1% )。EPS支原体培养阳性 2 3例 ,阳性率 2 7 4% ,其中解脲支原体 2 1例 ( 2 5 % )。金标免疫层析法检测沙眼衣原体阳性 2 2例 ( 2 6 2 % )。检测出复合病原体 14例( 16 7% )。结论 :性病性尿道炎并发慢性前列腺炎的致病菌以淋球菌、支原体和衣原体为主。认为前列腺液病原体检测 ,对指导性病性尿道炎并发慢性前列腺炎的治疗具有重要临床意义。

Objective: To investigate the etiologic factors of chronic prostatitis following sexually transmitted urethritis.Methods: The pathogens have been detected in 84 patients with chronic prostatitis following sexually transmitted urethritis.Results: 53 strains (63.1%) of bacteria were cultured in expressed prostatic secretions(EPS) from 84 patients,in which gonococcus was the majority of cultures,accounting for 38.1%.23 strains (27.4%) of mycoplasma were cultured in expressed prostatic secretions from 84 patients,21 ureaplasma urialyticum (UU) among them (25%).Chlamydia trachomatis (CT) were detected by the dot immunochromatography assay in expressed prostatic secretions,26.2% (22/84) showed positive results.And 14 cases with compound pathogen (16.7%) were also detected.Conclusion: Gonococcus,ureplasma urialyticum and chlamydia trachomatis were the main pathogens of chronic prostatitis following sexually transmitted urethritis.The results indicate that pathogen examination plays an important role in treatment of chronic prostatitis following sexually transmitted urethritis.Meanwhile much attention should be paid to the psychological treatment.