前列腺结石对慢性非细菌性前列腺炎患者的临床影响  

Clinical impact of prostatic calculi on chronic non-bacterial prostatitis

作　　者：王尉[1] 胡卫列[1] 杨槐[1] 朱贤胜[2] 邱晓拂[1] 

机构地区：[1]广州军区广州总医院泌尿外科,广州510010 [2]广州军区广州总医院超声诊断科,广州510010

出　　处：《解放军医学杂志》2006年第6期610-611,共2页Medical Journal of Chinese People's Liberation Army

基　　金：全军计划生育指令课题(热带地区男性生殖健康);广东省科技计划项目(2004B30301013)

摘　　要：目的探讨前列腺结石在难治性慢性非细菌性前列腺炎(CAP)患者的发生情况,及前列腺结石在难治性CAP临床影响。方法对104例难治性采用前列腺B超对结石作出诊断,以前列腺炎症状评分(CPSI)评估CAP/CPPS患者症状情况。比较患者前列腺不伴发结石、伴发Ⅰ型结石与Ⅱ型结石间年龄、CPSI及前列腺体积的差别,分析伴有Ⅱ型结石的患者年龄、CPSI评分、前列腺体积及前列腺结石体积的关系。结果在104例难治性CAP患者中,前列腺结石的检出率为55.8%,Ⅱ型结石的检出率为31.7%。Ⅰ型结石患者的年龄(41.0±5.8岁)较无结石(32.1±5.7岁)及Ⅱ型结石(34.2±4.3岁)明显升高(P<0.001),而Ⅱ型结石患者的CPSI评分(22.2±7.0)较无结石(16.4±7.3)及Ⅰ型结石(18.0±6.0)明显升高(P=0.001)。伴有Ⅱ型结石的难治性CAP患者的CPSI评分与结石体积呈显著相关性(r=0.39,P=0.025),结石体积与年龄及前列腺体积无明显联系(P=0.39及P=0.78)。结论前列腺Ⅱ型结石与难治性CAP症状有关,结石体积与临床症状存在显著相关性。Objective To investigate the clinical incidence and influence of prostatic calculi on recalcitrant chronic abacterial prostatitis （CAP）. Methods During August 2004 and March 2005, a total of 104 men with recalcitrant CAP refractory to multiple prior therapies were included in the study. Severity of symptoms in these patients was defined by the Chronic Prostatitis Symptom Index （CPSI）. The detection and volume measurement of prostatic calculi, and the measurement of prostate volume were performed by ultrasonography. Associ- ations between severity of symptoms and prostatic calculi were assessed using SNK x^2 tests and Spearman correlation. Results Prostatic calculi were detected in 58 of the 104 men （55.8%）, including type Ⅱ calculi （larger, coarser） in 31.7% of cases. Mean patient age was significantly older in men with type Ⅰ calculi （small, multiple） than with type Ⅱ calculi or without calculus （P〈0. 001）. In addition, mean CPSI with type Ⅱ calculi scored higher than the others （P〈0. 001）. The volume of type Ⅱcalculi were apparently associated with symptoms （r=0. 39, P=0. 025）. Whereas, no sigaxificant difference was found between the volume of type Ⅱ calculi and patient age or prostate volume （P=0. 39, P=0. 78）. Conclusion The presence of type Ⅱ calculi is related with symptoms in men with recalcitrant CAP.

关 键 词：前列腺炎 结石 骨盆痛 

分 类 号：R697.33[医药卫生—泌尿科学]