体外冲击波治疗Ⅲ型前列腺炎(CP/CPPS)疗效研究  

Effects of extracorporeal shock wave on the treatment of Chronic prostatitis/Chronic pelvic pain syndrome in males

作　　者：孙先军[1] 撒应龙[2] 叶绪晓[2] 谢淼[2] 肖费芳[2] 徐月敏[2] 

机构地区：[1]苏州大学医学院,苏州215123 [2]上海交通大学医学院附属第六人民医院

出　　处：《中国男科学杂志》2010年第9期29-32,共4页Chinese Journal of Andrology

摘　　要：目的探讨体外冲击波(ESWT)在治疗Ⅲ型前列腺炎中的临床疗效和应用价值。方法 2009年8月至2010年1月我院选择符合美国国立卫生研究院(NIH)诊断标准的Ⅲ型前列腺炎患者22例,行ESWT治疗,工作电压范围11～1 5kV,冲击频率25次/分,每次冲击2000次,每周1次,4次为1个疗程。随访治疗前及治疗后4周患者的NIH-CPSI、IPSS、IIEF、MPQ评分改变,研究ESWT在Ⅲ型前列腺炎中的治疗作用。结果所有病人均行门诊治疗,随访过程中没有发现任何不良反应,22例病人治疗后与治疗前相比依据CPSI评分、IPSS评分、IIEF评分有效率分别为62.63%、31.81%、22.72%。ESWT在缓解疼痛、改善生活质量方面有显著的统计学差异,在缓解下尿路梗阻症状、改善性功能方面差异无统计学意义。结论体外冲击波治疗Ⅲ型前列腺炎对改善患者疼痛症状效果确切,能显著改善患者生活质量,是一种安全、有效、廉价的治疗方法。Objective To investigate the clinical effects of extracorporeal shock wave in the treatment of chronic prostatitis / chronic pelvic pain syndrome. Methods Twenty patients with CP/CPPS who were diagnosed by NIH clinical criteria from August of 2009 to January of 2001 received ESWT with each by 2000 impulses, operating voltage range from 11-15KV, 25 times in one minutes. Each patient was treated four times once a week, ESWT. The parameters such as NIH-CPSI, IPSS,IIEF, MPQ were investigated using validated questionnaires before and after treatment. Results All patients received outpatient treatments and had no problems during follow-ups. THE effective power of NIH-CPSI, IPSS,IIEF was 62.50%,31.25%, 18.75% respectively. The efficacy of ESWT was statistically significant in relieving pain and improving the quality of life, but no improving in sexual function status and alleviating the symptoms of lower urinary tract obstruction. Conclusion ESWT is a safe, effective and cheap method for treatment of the patients with CP/CPPS. It can relieve pains of patients and improve their life.quality.

关 键 词：体外冲击波 前列腺炎 治疗 

分 类 号：R697.33[医药卫生—泌尿科学]