摘要
目的探讨体外冲击波治疗IIIB型慢性前列腺炎的临床疗效。方法将32例ⅢВ型慢性前列腺炎患者随机分为治疗组(20例)及对照组(12例),治疗组患者给予低能量级别冲击波治疗。对照组给予体外电场热疗。两组均每周治疗1次,连续治疗4次,4次为一疗程,两组患者分别于治疗前、治疗后4周进行NIH-CPSI评分,并对两组患者疗效进行比较。结果治疗前2组患者的疼痛/不适评分、排尿评分、生活质量影响评分及NIH-CPSI总分组间均无统计学差异(P>0.05)。两组治疗后疼痛/不适评分、排尿评分、生活质量影响评分及NIH-CPSI总分较治疗前差异有统计学意义(P<0.05)。治疗组治疗后的疼痛/不适评分、排尿评分、生活质量影响评分及NIH-CPSI总分下降幅度明显高于对照组治疗后下降幅度(P<0.05)。治疗组在治疗后的总有效率明显高于对照组(均P<0.05)。结论体外冲击波治疗慢性前列腺炎(IIIB)有较好的近期疗效,但其远期疗效有待进一步追踪观察。
Objective To investigate the therapeutic effects on extracorporeal shock wave in the treatment of chronic prostatitis（ⅢB）. Methods Thirty two cases with chronic prostatitis （ⅢB） were randomly divided into two groups. The treatments of low energy class shock wave was given in theraoeutic group （20 cases）. The extracorporeal electric field heat therapy was used in control group （12 cases）. One time treatment was performed in two groups every week and consecutive treatment was done in 4 times. The 4 times were one course of treatment, NIH-CPSI score were performed in 2 groups before treatment and 4 weeks after treatment. The therapeutic efficacies were compared between two groups, Results The pain, discomfortable score, urination score, quality of life/impact scores and NIH-CPSI total scores were no difference statistically between two groups before treatment （P〉 0.05 ）. But in discending amplitude of mentioned above indexes, the therapeutic group was higher than that control group after treatment（P〈0.05）. In the total effective rate, the therapeutic group was obviously higher than that control group after treatment （P〈0.05）. Conclusion Extracorporeal shock wave has a good short-term effects for the treatment of chronic prostatitis, but its＇ long-term effects should be observed further.
出处
《岭南现代临床外科》
2011年第5期368-370,共3页
Lingnan Modern Clinics in Surgery
关键词
体外冲击波
慢性前列腺炎
体外电场热疗
Extracorporeal shock waves
Chronic prostatitis
External electric field heat therapy
