经尿道灌注药物治疗难治性慢性细菌性前列腺炎27例  

Clinical Efficacy of Transurethral Drugs Perfusion for Treatment of Chronic Prostatitis

作　　者：刘佑宁 杨世春[2] 张诚 耿瑶 吴健 邓丽华 李霜 

机构地区：[1]成飞医院,四川成都610092 [2]四川省人民医院,四川成都610072

出　　处：《现代临床医学》2005年第6期395-396,共2页Journal of Modern Clinical Medicine

摘　　要：目的:探讨经尿道灌注药物在难治性慢性细菌性前列腺炎治疗中的作用.方法:对27例确诊的难治性慢性细菌性前列腺炎患者选择敏感抗生素配制好后用输液器接入固定好的四腔双囊导尿管,灌注配制好的药液后拔出尿管为1次灌注.5次为1疗程,每周1～2次,轻者1个疗程,重者2～3个疗程.每疗程后用EPS、改良EPS细菌培养法,PCR复查并采用NIH-CPSI进行评分.结果:27例治疗前后NIH-CPSI各类得分均有明显改善,治愈率40.74%(11例),好转率44.45%(12例),总有效率85.19%(23例).结论:经尿道灌注药物治疗难治性慢性细菌性前列腺炎的方法局部有效药物浓度高,效果显著.Objective：To make clear the clinical effectiveness of transurethral drugs perfusion in treatment of chronic prostatitis. Methods：27cases by EPS route or bacterial culture and PCR with a diagnosis standard consistent with NIH - CPSI. They were treated with transurethral drugs perfusion for 1 ～ 3 therapeutic course. The efficacy was evaluated by NIH - CPSI after treatment. Results： 27 chronic prostatitis cases, there were statistically significant differences in NIH - CPSI between the pre - and - post - treatment, cure rate was 40.74% and total efficiency rate was 85.19%. Conclusion： Transurethral drugs perfusion is effective for the treatment of chronic prostatitis.

关 键 词：慢性细菌性前列腺炎 尿道灌注 抗生素 药物治疗 

分 类 号：R697.33[医药卫生—泌尿科学]