包皮过长、包茎对慢性前列腺炎影响.docVIP

包皮过长、包茎对慢性前列腺炎影响 　【摘要】 目的 了解包皮过长、包茎对慢性前列腺炎的影响。方法 全部病例分为试验组和对照组，试验组为慢性前列腺炎合并包皮过长、包茎患者，对照组为慢性前列腺炎不合并包皮过长、包茎，两组治疗方法相同，包括有效抗生素、口服消炎痛、前列康、禁酒及刺激性食物、定期进行前列腺按摩、热水坐浴。全部病例均进行随访。结果 试验组慢性细菌性前列腺炎的发病率为36.67%，明显高于对照组的14.29%（P＜0.05），治疗有效率为40.00%，明显低于对照组的61.90%（P＜0.05），试验组复发率较对照组有增高的趋势。结论 包皮过长、包茎对慢性前列腺炎的发生发展有重要影响，它可能是慢性前列腺炎难以治疗的原因之一。 【关键词】 包皮过长；包茎；慢性前列腺炎 Effects of redundant prepuce and phimosis in treatment of chronic prostatitis 【Abstract】 Objective This study was to evaluate the effects of redundant prepuce and phimosis in the treatment of chronic prostatitis.Methods The patients eligible for study were assigned to 2 groups:the redundant prepuce and phimosis group-chronic prostatitis with redundant prepuce and phimosis,the control group-chronic prostatitis without redundant prepuce and phimosis.The therapy to the 2 groups was same,including effective antibiotics,analgesics,conprosta,refusing alcohol and hot food，massage of prostate,hot baths,etc.All the patients were followed up.Results The incidence of chronic bacterial prostatitis of the redundant prepuce and phimosis group was 36.67%,while the control group was 14.29%(P＜0.05),the effective rate of the redundant prepuce and phimosis group was 40.00%，the control group was 61.90%（P＜0.05），the redundant prepuce and phimosis group revealed a higher incidence of chronic bacterial prostatitis and a lower clinical improvement in comparison with the control group,and it may cause enhanced recurrence rate.Conclusion The results showed that redundant prepuce and phimosis may play an important role in the pathogenesis of chronic prostatitis,it may be one of the reasons that chronic prostatitis was hard to treat. 【Key words】 redundant prepuce；phimosis；chronic prostatitis 慢性前列腺炎包括慢性细菌性前列腺炎、慢性非细菌性前列腺炎和前列腺痛，是成年男性常见病，病因至今尚未完全弄清楚，治疗效果亦不甚满意。我院自1999年1月～2005年6月通过治疗慢性前列腺炎合并包皮过长、包茎患者，发现其临床疗效明显比无包皮过长、包茎差，提示包皮过长、包茎对慢性前列腺炎的发生、发展有重要影响，现报告如下。 1 资料与方法 1.1 一般资料 本研究共计102例病例，年龄18～58岁，平均29.5岁,病程1个月～12年,平均1.2年。慢性前列腺炎症状主要表现为疼痛（腰部、下腹部、会阴、大腿内侧、阴囊、睾丸、尿道等）、不育、