“尿道滴白”患者尿道分泌物与前列腺液的对比研究.pdfVIP

临床医学 CHINAFOREGINMEDCIALTREATMENT—口瞳■固l●窖—■■ “尿道滴白”患者尿道分泌物与前列腺液的对比研究 卑雄 湖北省潜江市江汉油田总医院五七院区泌尿外科 ．湖北潜江 433100 摘【要1目的探讨 “尿道滴白”患者尿道分泌物成分 ，评价尿道滴白是否来源于前列腺液。方法选取78例 “尿道滴白”患者。 分别取患者尿道分泌物和前列腺液 ，对尿道分泌物进行细菌培养 、常规镜检和酸性磷酸酶活性检测，对前列腺液进行前列 腺常规检测，比较两种标本的相关性，评价尿道滴白是否来源于前列腺液。结果72例患者细菌培养结果阳性 ，结合查体及 前列腺常规、尿常规检测确诊为前列腺炎 ，6例患者单纯表现为 “尿道滴白”症状，细菌培养阴性 ；78例患者前列腺液及尿道 分泌物酸性磷酸酶活性检测结果差异显著，提示 “尿道滴白”主要来源并非前列腺液。结论 “尿道滴白”是前列腺炎的临床 症状之一．并非前列腺液，可能为尿道腺分泌物。 关【键词】尿道滴 白；前列腺液；前列腺炎；尿道腺分泌物 中【图分类号】R697．33 文【献标识码】A [文章编号】1674—0742(2013)01(b)一0025—02 Comparativestudybetweenurethralsecretionandprostaticfluidonpatients withurethralinfusion LUZhuoxiong HubeiprovinceQianjiangCityJianghanOilfieldGeneralHospitalfivesevenhospitaldepartmentofUrology，Qianjiang433100，China [Abstract]ObjectiveTohaveadiscussiononcompositionofurethralsecretionofpatientswithurethralinfusion，andevaluatif urethralinfusionisderivedfrom prostaticfluid．Methods78easeswithurethral infusionwasadmitted，ofwhichurethralsecretion andprostaticfluidwereextractedrespectively，afterwhichbacterialculture，microscopicexaminationandacidphosphataseactivity detectionwereconductedonurethralsecretion，besides，prostateroutinetestingwasprocessedonprostaticfluid，andcomparisonwas conductedof2specimens．Results72patientsoutof78caseswhoseurethralsecretionculturewaspositive，andwerediagnosed asprostatitiscombined with prostateexaminationand urineroutinetest，meanwhile，6 casespurelymanifested urethralinfusion symptoms，withnegativecultureresults．Prostaticfluidtestresultsandacidphosphataseactivitydetectionoutcomesonurethralse— cretionof78patientsshowedsignificantdifference．suggesting “urethralinfusion”whosemainsourcewasnottheprostaticfluid． Conclusion “Urethralinfusion”isoneofclinicalsymptomsofprostatitis，anddifferentfrom prostaticfl