前列腺液脓球与卵磷脂小体计数与病原体培养的关系  

The relationship between the positive rate of bacterial culture and the number of purelent cells and lecithin body in prostatic fluid

作　　者：彭风华[1] 杨金瑞[1] 彭龙开[1] 谢续标[1] 杨罗艳[1] 张选志[1] 刘任[1] 赵小昆[1] 

机构地区：[1]中南大学湘雅二医院泌尿外科,长沙410011

出　　处：《中国男科学杂志》2010年第6期51-53,共3页Chinese Journal of Andrology

摘　　要：目的探讨前列腺液脓球与卵磷脂小体计数与病原体培养的关系,提高临床诊断水平。方法对2002年9月至2009年9月间,我院泌尿外科门诊1 136例前列腺炎患者行前列腺液常规检查,计数脓球、卵磷脂小体,同时行前列腺液需氧细菌培养和支原体、衣原体培养。结果 1136例前列腺液标本中,有284例(25.0%)病原体培养阳性,共计培养出病原体3 1 3株。脓球数目为-、+、++、+++～++++时,病原体培养阳性率分别为20.1%,32.5%,67.6%,64.3%,卵磷脂小体数目为-、+、++、+++、++++时,病原体培养阳性率分别为68.2%,30.6%,19.7%,20.6%,24.3%。结论随着前列腺液中脓球数目的增加、卵磷脂小体的减少,病原体培养阳性率逐渐增高,有助于早期预估病原体培养结果。Objective To analyze the relationship between positive rate of bacterial culture and the number of purelent cell and lecithin body in expressed prostatic secretion for improving the level of prostatitis diagnosis. Methods Total of 1136 EPS samples were obtained from patients with prostatitis during the period of lastseven years （Sep of 2002 to Sep of 2009）. The number of purulent ceils and lecithin body, mycoplasma culture, chlamydia culture and aerobic bacterial culture were respectively analyzed in all EPS samples. Results Of 1136 cases, 284（25.0%） cases had the positive results of bacterial culture. The total number of bacterial strains cultured was 284. With different number of purulent cells as-, ＋,＋＋,＋＋＋-＋＋＋＋,the positive rates of bacterial culture in EPS were 20.1%, 32.5%, 67.6% and 64.3% respectively. With different number of lecithin body as-, ＋,＋＋,＋＋＋,＋＋＋＋, the positive rates of bacterial culture in EPS were 68.2%,30.6%,19.7%,20.6% and 24.3% respectively. Conclusion With the increase of the purulent cells number and decrease of lecithin body number, the positive rates of bacterial culture in EPS samples were accordingly increased, which might help to early prediction of bacterial culture.

关 键 词：前列腺炎 卵磷脂小体 病原体培养 

分 类 号：R697.33[医药卫生—泌尿科学]