论文部分内容阅读
目的:探讨膀胱颈口电切加松解术治疗难治性慢性前列腺炎/慢性骨盆疼痛综合征(CP/CPPS,Ⅲ型前列腺炎)的疗效。方法:选择符合美国国立卫生研究院(NIH)诊断标准的Ⅲ型前列腺炎患者15例,均行经尿道膀胱颈口电切加松解术。以NIH-慢性前列腺炎症状指数(NIH-CPSI)、前列腺液内白细胞数及最大尿流率为疗效指标进行手术前后的比较。结果:15例患者中,7例显效,5例有效,3例无效。9例ⅢA型患者EPS中的白细胞计数由术前(30.6±10.3)个/HP减少至(10.2±5.7)个/HP。本组显效者占46.7%,有效者占33.3%,无效者占20%,总有效率为80%。结论:经尿道膀胱颈口电切加松解术是治疗难治性CP/CPPS(ⅢB型前列腺炎)的一种有效手段。
Objective: To investigate the curative effect of bladder neck dissection and dissection in the treatment of refractory chronic prostatitis / chronic pelvic pain syndrome (CP / CPPS, type Ⅲ prostatitis). Methods: Fifteen patients with type Ⅲ prostatitis who meet the National Institutes of Health (NIH) diagnostic criteria were enrolled in this study. All patients underwent transurethral resection of the transurethral bladder neck. NIH- chronic prostatitis symptom index (NIH-CPSI), prostatic fluid white blood cells and the maximum flow rate of urine as the efficacy index before and after the comparison. Results: Among the 15 patients, 7 were effective, 5 were effective and 3 were ineffective. The white blood cell count in 9 cases of type AIA patients decreased from (30.6 ± 10.3) / HP to (10.2 ± 5.7) / HP preoperatively. In this group, 46.7% were markedly effective, 33.3% were effective, 20% were ineffective, and the total effective rate was 80%. Conclusion: Transurethral resection of bladder neck and neck incision is an effective method for the treatment of refractory CP / CPPS (type ⅢB prostatitis).