摘要
目的提高前列腺炎的诊治水平。方法对近5年来临床工作中遇到的前列腺炎漏诊、误诊及认识有误的病例进行分析、探讨。结果有12例急性前列腺炎被误诊、漏诊,其中5例误诊为上呼吸道感染,7例诊断为尿路感染。15例前列腺增生(BPH)伴慢性前列腺炎者,漏诊了前列腺炎。17例慢性前列腺炎伴有其它泌尿生殖系疾病者,漏诊了其中之一。15例前列腺液常规中白细胞数与前列腺炎严重程度及治疗效果不一致。4例B超检查提示前列腺炎,患者无不适,按前列腺炎治疗后反而出现症状。结论前列腺炎诊治中尚存在一些问题。临床工作中需开阔思路,多做肛指检查。对症状、体征、前列腺液检查、B超检查结果等进行综合考虑,才能作出正确的诊断和治疗。
Objective To improve the diagnosis and treatment of the chronic prostatitis. Methods The cases of chronic prostatitis that were miss-diagnosed in recent five years were analyzed. Results 12 cases of acute prostatitis were misdiagnosed, 5 of which were diagnosed as upper respiratory tract infection and 7 were diagnosed as urinary tract infection. 15 cases of chronic prostatitis were miss-diagnosed in benign prostate hyperplasia cases. 17 cases of chronic prostatitis accompanied other urogenital system disease were missed either. In 15 cases the WBC count in the routine test of the EPS was not consistent to the symptoms and the results of treatment. There was no symptoms in 4 cases that suggested prostatitis by ultrasonography, but felt uncomfortable after treatment. Conclusion There are still some misunderstanding in the diagnosis and treatment of chronic prostatitis. It is recommended that more DRE should be taken, and an integrated consideration to the symptoms, signs, EPS and ultrasonic results of the patients is needed, so as to find a right way to get precise diagnosis and treatment of chronic prostatitis.
出处
《中国男科学杂志》
CAS
CSCD
2007年第8期38-40,共3页
Chinese Journal of Andrology
关键词
前列腺炎
诊断
治疗
泌尿生殖系统疾病
chronic prostatitis
diagnosis
treatment
urogenital disease
