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探讨慢性前列腺炎(CP)的病原学机理,对53例CP(病例组)和57例无泌尿生殖系感染的男性(对照组)进行病例对照研究。比较了两组前列腺液解脲支原体、沙眼衣原体、四杯定位细菌培养、前列腺按压液(EPS)白细胞计数和前列腺B超的结果。病例组EPS白细胞>1000/mm3的例数高于对照组;病例组金葡菌和大肠杆菌检出率高于对照组,但类白喉杆菌、表皮葡萄球菌和解脲支原体却低于对照组。两组沙眼衣原体检出率无显著性差异。结果可归纳出两条可供参考的结论:①不应将慢性非细菌性前列腺炎作为一种性传播病或顽固性感染告知患者,以免加重患者的精神负担;②只有当患者伴复发性尿路感染时,定位细菌培养法方有较大的实用性。
To investigate the etiological mechanism of chronic prostatitis (CP), a case-control study was conducted in 53 cases of CP (case group) and 57 cases of non-genitourinary male (control group). The results of prostatic fluid Ureaplasma urealyticum, Chlamydia trachomatis, four cups localized bacterial culture, prostate white matter count (EPS) and prostate ultrasonography were compared. The cases of EPS white blood cells> 1000 / mm3 cases higher than the control group; cases of Staphylococcus aureus and Escherichia coli detection rate was higher than the control group, but the diphtheria diphtheriae, Staphylococcus epidermidis and Ureaplasma urealyticum was lower than the control group. Chlamydia trachomatis detection rate of two groups no significant difference. The results can be summarized in two conclusions for reference: ① should not chronic non-bacterial prostatitis as a sexually transmitted disease or intractable infection to inform patients, so as not to aggravate the mental burden of patients; ② only when patients with recurrent urinary Road infection, the localization of bacterial culture has a greater practical side.