前列腺解剖位置观察及经直肠局部药物注射治疗慢性前列腺炎临床分析  

Anatomic observation of the prostate for clinical application of local drug injection through the rectum for chronic prostatitis

作　　者：程军平[1] 戴景兴[2] 刘永谦[1] 洪辉文[2] 张秀练[1] 张美容[1] 叶秋月[1] 

机构地区：[1]广州市皮肤病防治所,广东广州510095 [2]第一军医大学解剖学教研室,广东广州510515

出　　处：《第一军医大学学报》2003年第6期633-635,共3页Journal of First Military Medical University

摘　　要：目的为经直肠局部药物注射治疗慢性前列腺炎提供解剖学依据.方法对16侧正中矢状面男性盆腔标本进行解剖结构观察并测量前列腺后壁至直肠前壁距离、可进针范围、可进针深度及与肛门间距离等指标.分析51例慢性前列腺炎患者经直肠局部药物注射治疗的临床资料.结果前列腺与直肠前壁间仅存在少量脂肪组织和静脉丛,前列腺后壁至直肠前壁的距离为(5.773±0.710)mm、可进针范围为(15.408 8±1.438 2)mm、可进针深度为(15.703 1±0.944 1)mm、可进针部位至肛门皮肤距离35～50mm.51例中治愈43例(84.31%)、有效7例(13.73%)、无效1例.结论经直肠局部药物注射治疗慢性前列腺炎是一种有效的治疗方法.Objective To provide anatomic evidences for local drug injection through the rectum for treating chronic prostatitis and observe the therapeutic effect of this treatment. Methods Anatomic observation of the median sagittal plane of 16 male pelvic specimens was conducted, with special attention to the structures between the prostate and the rectum. The distance from the posterior wall of the prostate to the anterior wall of the rectum, the scope that allowed the entry of the puncture needle, the appropriate puncture depth, and the distance from the anus to the safe were carefully measured. Analysis of the clinical record was performed in 51 chronic prostatitis cases treated with local injection of prednisolone, antibiotic and lidocaine through the rectum. Results Only some fat tissues and venous plexus were found between the prostate and the anterior wall of the rectum, and the distance from posterior wall of the prostate to the anterior wall of the rectum averaged 5.773±0.710 mm. The scope for possible puncture was 15.408 8±1.438 2 mm with a depth of 15.703 1±0.944 1 mm. The maximum and minimum distances from the anus to the puncture were 47.594±2.432 mm and 35.781±1.850 mm, respectively. Among the 51 cases investigated, the total cure rate was 84.31%, and improvement was achieved in 13.73% of the case, with only one case (2%) failed to respond to the treatment. Conclusion Local drug injection through the rectum can be ideal for the treatment of prostatitis for its safety and effectiveness.

关 键 词：前列腺 解剖位置观察 经直肠局部药物注射 治疗 慢性前列腺炎 临床分析 

分 类 号：R697.33[医药卫生—泌尿科学]