单纯性前列腺结核16例临床分析  

Clinical analysis for 16 simple prostate tuberculosis cases

作　　者：吴涛[1] 罗旭[1] 陈宗平[1] 付逆[1] 张能[1] 张鹏[1] 祝晓燕[1] 

机构地区：[1]遵义医学院附属医院泌尿外科,贵州遵义563099

出　　处：《遵义医学院学报》2015年第2期188-189,共2页Journal of Zunyi Medical University

摘　　要：目的 探讨单纯前列腺结核的诊断及治疗,提高临床对单纯前列腺结核的认识.方法 回顾性分析2008年1月至2013年1月我院诊治的16例单纯前列腺结核的临床资料,对其诊疗进行总结分析.结果 16例患者临床表现有尿频、尿急、尿不尽及会阴部不适,早期均误诊为慢性前列腺炎,疗效欠佳.其中患陈旧性肺结核15例.行前列腺液AFB检查阳性13例、前列腺液TB-PCR阳性2例、前列腺穿刺活检确诊1例.经抗结核治疗半年后全部患者均治愈,随访12～36个月,无复发.结论 单纯前列腺结核易误诊为慢性前列腺炎.对陈旧性肺结核患者伴顽固性尿频、尿不尽,而普通抗生素治疗效果不佳时,应进一步行前列腺的结核相关检查.Objective To investigate the diagnosis and treatment of simple prostate tuberculosis to increase the awareness of simple prostate tuberculosis. Methods Sixteen simple prostate tuberculosis cases were retrospectively analyzed in the Affiliated Hospital of Zunyi Medical University from January, 2008 to January, 2013. Results Sixteen patients with urinary frequency, urinary urgency, endless urine and perineal discomfort were misdiag- nosed as chronic prostatitis in early period with poor efficacy after treatment, in which 15 patients suffered from old tuberculosis. AFB positive cases and 2 TB - PCR positive cases were detected and one case was diagnosed by prostate needle biopsy. All patients were cured after anti - TB treatment for six months. After the followed - up treatment for 12 -36 months, no case relapsed. Conclusion Simple prostate tuberculosis is easily misdiagnosed as chronic prostatitis in early period. Prostate TB should be further detected in old tuberculosis patients with re- fractory urinary frequency, endless urine and poor efficacy of ordinary antibiotics.

关 键 词：单纯前列腺结核 诊断 治疗 

分 类 号：R697.3[医药卫生—泌尿科学]