慢性骨盆疼痛综合征的综合性治疗  

Combined Therapy for the Chronic Pelvic Pain Syndrome

作　　者：宋旭[1] 漆贯华[1] 汤鹏[1] 李业宽[1] 

机构地区：[1]南京医科大学附属淮安第一医院泌尿外科,江苏淮安223300

出　　处：《中华男科学杂志》2004年第6期429-430,433,共3页National Journal of Andrology

摘　　要：目的 :探讨慢性骨盆疼痛综合征 (CPPS)的诊疗方法。　方法 :分析 16 5例CPPS患者的病史和实验室检查结果 ,依据美国国立卫生研究院 (NIH)前列腺炎的诊断标准 ,对患者进行分类。综合性治疗 6～ 8周。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、镇静剂、镇痛肌松剂治疗 ;全部患者均配合精神心理及物理疗法 ,部分患者加服中成药。根据慢性前列腺炎症状指数 (CPSI)评分判断疗效。　结果 :治疗 6周后显效 12 1例 (73.3% ) ,有效 2 6例 (15 .8% ) ,无效 18例 (10 .9% )。　结论 :综合性治疗是CPPS有效的治疗方法。Objective: To study the clinical diagnosis and treatment of the chronic pelvic pain syndrome (CPPS). Methods: According to National Institute Health (NIH) classification,165 cases of chronic prostatitis were surveyed by analysis of their laboratory results and clinical history. In addition,the chronic prostatitis symptom index (CPSI) of each patient was evaluated. All patients were treated for 6 to 8 weeks,type ⅢA with antibiotics and α 1 receptor inhibitor,type ⅢB with α 1 receptor inhibitor,diazepam diclogenatis and other narcotics. All cases were additionally treated by psychological and physical therapies. Traditional Chinese Medicine was also used in some cases. Results: Based on the results of CPSI after 6 weeks treatment,121( 73.3 %) significantly improved,26( 15.8 %) slightly improved and only 18( 10.9 %) did not respond to the therapy. Conclusion: Combined therapy can be an effective treatment for the chronic pelvic pain syndrome.

关 键 词：慢性骨盆疼痛综合征 前列腺炎 诊断 治疗 

分 类 号：R697.33[医药卫生—泌尿科学]