性传播性尿道炎后慢性前列腺炎(附86例报告)  

Chronic prostatitis following sexually transmitted urethritis(report of 86 cases)

作　　者：洪伟平[1] 林观平[2] 柯水源[3] 黄文明[4] 

机构地区：[1]广东医学院附属医院泌尿外科,湛江524001 [2]广东医学院生化教研室 [3]广东医学院附属医院检验科,湛江524001 [4]广东医学院附属医院皮肤科,湛江524001

出　　处：《中华泌尿外科杂志》2002年第5期299-300,共2页Chinese Journal of Urology

摘　　要：目的　探讨性传播性尿道炎后慢性前列腺炎患者的病因学特点。　方法　对 86例性传播性尿道炎后慢性前列腺炎患者进行前列腺按摩液 (EPS)的病原体检测并分析结果。　结果　EPS细菌培养阳性 5 7例 ,阳性率 6 6 .3% ,其中以淋球菌为主要致病菌 33例 (38.4 % )。前列腺液PCR检测淋球菌阳性 37例 (43.0 % ) ,沙眼衣原体阳性 2 2例 (2 5 .6 % ) ,解脲脲原体阳性 19例(2 2 .0 % )。PCR检测出复合病原体者 12例 (13.9% )。　结论　性传播性尿道炎后慢性前列腺炎的致病菌以淋球菌、衣原体和解脲脲原体为主 。Objective To investigate the etiologic factors of chronic prostatitis following sexually transmitted urethritis. Methods The pathogens have been detected in 86 patients with chronic prostatitis following sexually transmitted urethritis. Results 57 strains (66.3%) of bacteria were cultured in expressed prostatic secretions(EPS) from 86 patients,in which gonococcus was the majority of cultures,accounting for 38.4%. Chlamydia trachomatis (CT), ureaplasma urialyticum (UU) and gonococcus were also detected by polymerase chain reaction (PCR) in expressed prostatic secretions,25.6%(22/86), 22.0%(19/86),and 43.0%(37/86) showed positive results respectively. Conclusions Gonococcus,chlamydia trachomatis and ureaplasma urialyticum were the main pathogens of chronic prostatitis.The results indicate that pathogen examination plays an important role in treatment of chronic prostatitis following sexually transmitted urethritis.

关 键 词：性传播性尿道炎 慢性前列腺炎 病因学 诊断 治疗 病例报告 

分 类 号：R697.3[医药卫生—泌尿科学]