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目的探讨非特异性肉芽肿性前列腺炎的临床和病理学特点。方法回顾分析15例经直肠前列腺活检明确诊断为非特异性肉芽肿性前列腺炎病例,其中15例患者给予抗炎对症治疗,哌拉西林钠舒巴坦钠(邦达)2.4mg/d,疗程3-6周不等,7例伴严重排尿困难患者加服盐酸坦索罗辛(哈乐)0.2mg/d或者多沙唑嗪释控片(可多华)2mg/d。结果15例患者随诊3～20个月,排尿困难症状明显改善,肛门指诊(DRE)前列腺质地变软、硬结转小,血清前列腺特异抗原(PSA)明显下降。结论非特异性肉芽肿性前列腺炎极易与前列腺癌相混淆,需引起足够重视,确诊必须依靠前列腺活检。
Objective To investigate the clinical and pathological features of non-specific granulomatous prostatitis. Methods 15 cases of non-specific granulomatous prostatitis diagnosed by transrectal prostate biopsy were retrospectively analyzed. Among them, 15 cases were given anti-inflammatory symptomatic treatment, while piperacillin sodium and sulbactam sodium (Banda) 2.4 mg / d, treatment 3 -6 weeks, 7 patients with severe dysuria plus tamsulosin hydrochloride (Harmony) 0.2mg / d or doxazosin release tablets (can be more) 2mg / d. Results The 15 patients were followed up for 3 to 20 months. The symptoms of dysuria were improved obviously. The prostatic tissue of the anus dorsal (DRE) was soft, the corkscrew was small and the serum PSA was significantly decreased. Conclusion Non-specific granulomatous prostatitis easily confused with prostate cancer, should pay enough attention to the diagnosis must rely on prostate biopsy.