耻骨后药物注射治疗慢性前列腺炎300例疗效观察  

Therapeutic effect observation on the treatment of 300 cases of chronic prostatitis by using retropubic pharmaceutics injection

作　　者：陈岳 张滨[2] 杨春亭[2] 臧志军[2] 王晓文[2] 黄世宗[2] 林慧[2] 

机构地区：[1]佛山市禅城区中心医院泌尿外科,广东省佛山528031 [2]中山大学附属第三医院不育与性医学科

出　　处：《中国基层医药》2006年第10期1648-1649,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 观察耻骨后药物注射治疗慢性前列腺炎的疗效。方法 回顾性总结根据美国国立卫生研究院（NIH）标准诊断为Ⅱ型及Ⅲ型经口服药物治疗效果欠佳的慢性前列腺炎患者300例．年龄15～64岁，美国国立卫生研究院慢性前列腺炎症状评分（NIH—CPSI）〉19分，用庆大霉素8万u、地塞米松5mg、1％利多卡因2ml注射至耻骨后间隙前列腺外周，每2～3天1次，共6～9次，采用NIH—CPSI的改变判定疗效。结果观察4～8周．治愈108例（36％），显效135例（45％）．有效30例（10％），无效27例（9％），总有效率91％。2例出现排尿轻微疼痛，持续1d，未经治疗而自行消失。结论 耻骨后药物注射治疗慢性前列腺炎便、安全、有效。Objective To observe the curative effects on the treatment of 300 eases of chronic prostatitis by using retropubic pharmaceuties injection. Methods 300 patients of our department diagnosed as type Ⅱ and type chronic prostatitis accordi,ng to NIH standardization were retrospectively studied between April 2002 and March 2006. All these patients had poor improvement with oral medication, Their age ranged from 15 to 64 years old and their scores evaluated by NIH-C, PSI（NIH classification system for prostatitis） were lower than 19. Eighty thousand units of gentamycin,5mg of dexamethasone, and 2ml of lidocaine with one percent concentration were injected together Io the periphery of prostatae 2 to 3 times a day,6 to 9 times in total. The curative effect were evaluated by using the changes of NIH-CPSI. Results After 4 to 8 week＇s observation, 108 cases were cured（22.5 % ） , 135 cases had an evidently, effect（37.5 % ）,30 cases had a helpful effect（27.5 % ）,27 cases had no effect. The total efficiency was 91%.2 cases had a little pain during urination and the symptom disappeared after one day without any treatment Conclusion Relropubic pharmaceutics injection is a convenient,safe,and effective treatment on patients with chromic prostatitis.

关 键 词：前列腺炎 药物疗法 注射 病灶内 

分 类 号：R697.3[医药卫生—泌尿科学]