良性前列腺增生与慢性前列腺炎发病特点的相关性分析  

Relationship between benign prostatic hyperplasia and chronic prostatitis

作　　者：詹朱坤 屈维龙[1] 田峰[1] 汪祖林[1] 宋立[1] 俞仲伟[1] 骆德兴[1] 王珂[1] 郦俊生 沙健 郑伯营 卢国军[4] 

机构地区：[1]上海市第八人民医院泌尿外科,200235 [2]上海徐汇区中心医院泌尿外科 [3]上海市天山中医院泌尿科 [4]浙江省磐安县人民医院外科

出　　处：《中华泌尿外科杂志》2009年第2期124-126,共3页Chinese Journal of Urology

摘　　要：目的探讨良性前列腺增生（BPH）与慢性前列腺炎（CP）发病特点的相关性。方法BPH患者300例。平均年龄72（51～96）岁。根据直肠指诊及B超检查结果分为Ⅰ、Ⅱ、Ⅲ度增生3组，分别为85、139和76例。对每组合并CP的发生率及不同方法治疗效果进行统计学分析。结果300例患者中合并CP者233例（77．7％），其中Ⅰ、Ⅱ、Ⅲ度增生组合并CP者分别为53例（62．6％）、113例（81．3％）、67例（88．2％），3组患者合并CP的发生率差异有统计学意义（P〈0．05）。合并CP患者分为2组，均给予抗前列腺增生药物治疗，其中一组同时服环丙沙星及消炎痛栓纳肛，比较各组患者治疗前后国际前列腺症状评分（IPSS）、生活质量评分（QOL）变化差异。Ⅰ、Ⅱ度增生组合并CP的患者加用抗感染治疗前后IPSS（7．5±0．6与5．5±0．9、11．5±1．5与10．0±o．5）、QOL评分（4．1±1．0与3．0±0．5、4．8±1．1与3．2±0．4）差异有统计学意义（P〈0．01），Ⅲ度增生组合并CP者加用抗感染治疗前后（IPSS27．8±2．8与25．O±2．5，QOL评分5．5±0．4与4．5±1．O）差异无统计学意义（P〉O．05）。结论BPH患者常合并CP，腺体增生程度与CP发生率呈正相关，合并CP的Ⅰ、Ⅱ度增生患者抗炎治疗效果好于Ⅲ度增生合并CP患者。Objective To investigate the relationship between benign prostatic hyperplasia （BPH） and chronic prostatitis（CP）. Methods Three hundred BPH patients were studied, aged from 51 to 96 （aver- age 72）. All patients were divided into 3 groups （Ⅰ°,Ⅱ°and Ⅲ°）according to result of digital rectal examina- tion, whieh include 85 cases ,139 cases and 76 cases respectively. The incidence of CP among 3 groups were compared and analyzed. Results Two hundreds and thirty-five of the 300 cases with BPH were accompanied with CP（77. 7%）. Among the 233 cases, 53 cases were in Ⅰ degree BPH group （53 / 85, 62.4% ）, 113 cases were in Ⅱ degree BPH group （113/139, 81.3%）, 67 cases were in Ⅲ degree BPH group （67/76, 88. 2%）. Conclusion Many BPH patients were accompanied by CP. The prostate size and the inflammation of prostate were positive correlated. The effect of anti-inflammatory treatment in Ⅰ degree and Ⅱ degree BPH patients was better than Ⅲ degree BPH patients.

关 键 词：良性前列腺增生 慢性前列腺炎 发病特点 临床 治疗 

分 类 号：R697.32[医药卫生—泌尿科学] R697.33[医药卫生—外科学]