慢性前列腺炎患者前列腺液培养及临床意义

The culture and clinical significance of the prostatic fluid in patients with chronic prostatitis

目的 探讨慢性前列腺炎患者前列腺液培养及临床意义。方法 选择2001年1月至2002年12月临床诊断慢性前列腺炎,前列腺液白细胞数超过10个/HP的患者280例,其中198例做前列腺液普培药敏实验,淋茵及非淋茵病后前列腺炎82例,同时做前列腺液特殊培养及药敏实验。结果 普通细菌培养198例,无细菌生长72例占36.3％,有细菌生长126例占63.7％,其中球菌类细菌87例,占阳性病例的69％,杆菌类细菌39例,占阳性病例的31％。特殊培养82例,无病原体生长20例占24.4％,有病原体生长62例占75.6％,其中淋病奈瑟菌25例,占阳性病例的40％,支原体衣原体37例,占阳性病例的60％。做20种抗生素药敏试验,耐药率较高。结论 慢性前列腺炎患者做前列腺液培养及药敏试验对于前列腺炎的临床分型及指导治疗有重要意义。

Objective To investigate the culture of the prostatic fluid and its clinical signification in patients with chronic prostatitis. Methods 280 patients were diagnosed as chronic prostatitis by clinical examination from January 2001 to December 2002, whose white blood cells of prostatic fluid were over 10/HP.The prostatic fluid cultures and drug sensitivity test were performed in 198 patients,and the special cultures and drug sensitivity test were done in the other 82 patients who had the gonorrhea and non-gonorrhea prostatitis.Results Among the 198 routine cultures, there were no bacteria in 72 cases (36.3%), there were bacteria in 126 cases (63.7 % ) ; Among the 126 cases, there were cocci in 87 cases (69%) ,and there were bacilli in 39 cases (31%) .Among the 82 special cultures,there were no pathogens in 20 cases (24.4 %), there were pathogens in the other 62 cases ( 75.6 % ), and among the latters, there were 25 neisseria gonorrhea positive cases (40% ), and there were 37 chlamydia or ureaplasma urealyticium positive cases (60% ). 20 antibiotics were used in the drug sensitivity test,and the drug resistant rate was higher. Conclusion The prostatic fluid cultures and drug sensitivity test play an important role in clinical classification and treatment for prostatitis.