摘要
目的 观察经尿道药物滴注结合微波热疗对性病后慢性非细菌性前列腺炎的治疗效果。方法 选取支原体或衣原体引起的慢性前列腺炎患者 12 0例 ,随机分为治疗组 80例 ,经双囊五腔导管尿道内滴注氟罗沙星及前列腺微波热疗结合口服阿齐霉素 ;对照组 4 0例 ,静脉滴注氟罗沙星结合口服阿齐霉素。结果 治疗组治愈率为 85 .0 % ,病原体阴转率为 93.8% ,前列腺液转阴率 88.8% ,自主症状阴转率为 86 .3% ;对照组治愈率为 72 .5 % ,病原体阴转率为 87.5 % ,前列腺液转阴率 75 .0 % ,自主症状阴转率为 77.5 %。治疗组前列腺液转阴率较对照组高 ,相差显著 ,P <0 .0 5。结论 经双囊五腔导管尿道内滴注氟罗沙星及前列腺微波热疗结合口服阿齐霉素是治疗性病后慢性非细菌性前列腺炎的有效方法。
Objective To investigate the effect of transurethral antibiotic drip combined with wicrowave hyperthermia on treating chronic nonbacteria prostatitis.Methods 120 cases of chronic prostatitis,caused by chlamydia trachomatis or mycoplasma, were randomly divided into two groups,the treatment group(80 cases) were treated with transurethral fleroxacin drip and transrectal microwave hyperthermia,through two-balloon and five-channel catheter, azithromycin orally for 3 weeks;the control group (40 cases) were treated with fleroxacin infusion combined with azithromycin orally for 3 weeks.Results The cure rate, pathogen negative rate,expressed prostate secretions and subjective symptom negative rate in treatment group were 85.0%, 93.8%,88.8% and 86.3% respectively and those of control group were 72.5%, 87.5%, 75.0% and 77.5% respectively, but only expressed prostate secretions negative rate had a significant difference between 2 groups (P<0.05 ). Conclusion Transurethral antibiotic drip is an effective method in eliminating the pathogen of prostatitis,and transrectal microwave hyperthermia could promote the curative effect of antibiotic,especially in relieving subjective symptoms.
