慢性前列腺炎与膀胱出口梗阻的临床观察  

Clinical observation on the relationship between chronic prostatitis and bladder outlet obstruction

作　　者：刘朝东[1] 胡钢[1] 马笑光[1] 陈在贤[1] 

机构地区：[1]重庆医科大学附属第一医院泌尿外科,重庆400016

出　　处：《中国男科学杂志》2007年第9期26-28,共3页Chinese Journal of Andrology

摘　　要：目的探讨膀胱出口梗阻在慢性前列腺炎诊治中的作用。方法对临床诊断为慢性前列腺炎并伴有排尿症状的患者138例,进行尿流动力学检查,统计膀胱出口梗阻的发生率;对有膀胱出口梗阻的慢性前列腺炎患者随机分为两组治疗(1)一般治疗组(A组);(2)针对膀胱出口梗阻药物治疗组(B组)。比较两组临床症状和尿流动力学检查结果的变化和治疗效果。结果138例患者中,膀胱出口梗阻106例,占76.8%。针对膀胱出口梗阻药物治疗组治疗有效44例,占83%;尿流动力学检查膀胱出口梗阻解除者40例,占75.5%。与对照组比较,差异有显著性意义。结论慢性前列腺炎伴有排尿症状的患者中膀胱出口梗阻发生率高,可能是该病的病理生理改变的一个重要方面和环节;α-受体阻滞剂和镇静剂应用是目前较有效的治疗方法。Objective To investigate the effect of bladder outlet obstruction in chronic prostatitis. Methods Urodynamic assessment was performed in 138 patients with symptoms which supported a diagnosis of chronic prostatitis and commonly suggested on urinary symptoms. The incidence rate was added up in those patients with bladder outlet obstruction, they were randomly divided into two groups were compared that was general treatment group （group 1） and directly aiming at bladder outlet obstruction medicine treatment group （group 2） and given different treatments. The changes in clinical symptom and urodynamic assessment results, as well as the therapeutic efficacy in both groups. Results 106 cases （76.8%） had bladder outlet obstruction in the 138 cases patients. The effective therapy rate in group 2 is significantly higher than that in group 1, with 44 patients became better （83%） and 40 cases released the symptom of bladder outlet obstruction （75.5%）. Conclusion It＇s easy to get bladder outlet obstruction when the patients have chronic prostatitis with urination symptoms, o -receptor blocking agent and sedative are the relative effective approach nowadays.

关 键 词：前列腺炎 膀胱出口梗阻 尿动力学 

分 类 号：R697.33[医药卫生—泌尿科学]