摘要
目的探讨前列腺结石在难治性慢性非细菌性前列腺炎CAP患者的发生情况及其临床影响。方法对115例难治性CAP患者采用前列腺B超对结石作出诊断,以前列腺炎症状评分(CPSI)评估CAP/慢性骨盆疼痛综合征(CPPS)患者症状情况。比较患者前列腺不伴发结石、伴发Ⅰ型结石(细小,弥散分布)与Ⅱ型结石(较大、聚集分布)间年龄、CPSI及前列腺体积的差别。结果难治性CAP患者中,前列腺结石的检出率为54.8%,Ⅱ型结石的检出率为33.0%。Ⅰ型结石患者的年龄较无结石及Ⅱ型结石明显升高,而Ⅱ型结石患者的CPSI评分较无结石及Ⅰ型结石明显升高。结论前列腺Ⅱ型结石与难治性CAP症状有关。而Ⅰ型结石的发生与衰老有关。
Objective To investigate the clinical incidence and influence of prostatic calculion recalcitrant chronic abacterial prostatitis(CAP). Methods A total of 115men with recalcitrant CAP refractory to multiple prior therapies were included in the study. Severity of symptoms in menwith CAP was defined by the Chronic Prostatitis Symptom Index (CPSI). The detection and volume measurement of prostatic calculi, and the measurement of prostate volume were performed by ultrasonography. Associations between severity of symptoms and prostatic calculi was assessed using SNK χ^2 tests. Results Prostatic calculi were detected in 63 of the 115 men(54.8%), including type Ⅱ calculi (larger, coarser) in 33.0% of cases. Mean patients age was significantly older in men with type Ⅰ calculi (small, multiple) than with type Ⅱ calculi or without. In addition, mean CPSI in patients with type Ⅱ calculi scored higher than the others. Conclusion Type Ⅱ calculi is relevant with symptoms in men with recalcitrant CAP. Moreover, it is probable that Type Ⅰ calculi represent a physiological aging procedure.
出处
《中国男科学杂志》
CAS
CSCD
2006年第4期23-25,共3页
Chinese Journal of Andrology
基金
广东省科技计划项目(2004B30301013)
关键词
前列腺炎
结石
prostatitis
calculi