前列腺结核性脓肿1例报告并文献复习  

Tuberculous prostatic abscess:a case report and literature review

作　　者：崔庆鹏 李天杰 罗钰辉[2] 李同海 李显永 雷银 吴汶钊 刘孝东[2] CUI Qing-peng;LI Tian-jie;LUO Yu-hui;LI Tong-hai;LI Xian-yong;LEI Yin;WU Wen-zhao;LIU Xiao-dong(Department of Urology,Third People's Hospital of Yunnan Province,Kunming 650200,China;Department of Urology,The First Affiliated Hospital of Kunming Medical University,Kunming 650032,China)

机构地区：[1]云南省第三人民医院泌尿外科,云南昆明650200 [2]昆明医科大学第一附属医院泌尿外科,云南昆明650032

出　　处：《中国感染控制杂志》2019年第12期1111-1115,共5页Chinese Journal of Infection Control

基　　金：国家自然科学基金(81860451);云南省科技计划项目应用基础研究(昆医联合专项)(2017FE648);昆明医科大学第一附属医院博士启动基金(2015BS026)

摘　　要：报告1例前列腺结核性脓肿的病例,检索国内外相关文献,结合文献复习探讨该病的临床特点,为疾病的诊治提供帮助。26例前列腺结核性脓肿病例中,中老年患者18例(占69.23%),免疫力低下者7例(占26.92%),卡介苗灌注者共11例(占42.31%)。前列腺结核性脓肿患者无明显特异性表现,主要表现为下尿路症状(16例,占61.54%)、发热(6例,占23.08%)、前列腺特异性抗原升高(5例,占19.23%)等非特异性症状。经直肠前列腺超声及超声引导下穿刺是最重要的诊断方式(17例,占65.38%)。前列腺结核性脓肿常发生于免疫力低下的人群,无特异性临床表现,经直肠前列腺超声及超声引导下穿刺是最常见的诊断方法。A case of tuberculous prostatic abscess(TPA)was reported,relevant literatures at home and abroad were searched,clinical characteristics of the disease were evaluated in combination with literature review,so as to provide help for the diagnosis and treatment of the disease.Among 26 cases of TPA,18 cases(69.23%)were middle-aged and elderly patients,7 cases(26.92%)were patients with low immunity,11 cases(42.31%)received Bacillus Calmette-Guérin(BCG)perfusion therapy.There was no obvious specific manifestations in patients with TPA,the main manifestations were lower urinary tract symptoms(n=16,61.54%),fever(n=6,23.08%),elevation of prostate-specific antigen(n=5,19.23%)and other non-specific symptoms.Transrectal prostate ultrasound and ultrasound-guided puncture are the most important diagnostic methods(n=17,63.58%).TPA often occurrs in person with low immunity,without specific clinical manifestations,transrectal ultrasound and ultrasound-guided puncture are the most common diagnostic methods.

关 键 词：前列腺结核 前列腺结核性脓肿 前列腺脓肿 

分 类 号：R697.3[医药卫生—泌尿科学]