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目的:探讨男性慢性前列腺炎的盆腔疼痛综合征(CPPS)的临床诊疗方法。方法:本组根据病理组织学及临床微生物学的结果,结合临床症状、体征,分类诊断给予治疗。本组EPS细菌培养均为阴性,病理分为四型:腺体增生型、平滑肌增生型、纤维组织增生型、混合型。结果:本组20例中,腺体增生型以5-浕还原酶抑制剂治疗,平滑肌增生型以浕-受体阻滞剂治疗,纤维组织增生型则选择理疗或中医中药无效应用TURP,混合型则取上述综合疗法。本组取得95%好转率的疗效。结论:应用病理组织学原则指导CPPS的治疗值得临床进一步研究。
Objective: To investigate the clinical diagnosis and treatment of pelvic pain syndrome (CPPS) in men with chronic prostatitis. Methods: The group according to the results of histopathology and clinical microbiology, combined with clinical symptoms, signs, classification diagnosis and treatment. The group of EPS bacterial culture were negative, the pathology is divided into four types: gland hyperplasia, smooth muscle hyperplasia, fibrous tissue hyperplasia, mixed type. Results: The group of 20 cases, the gland hyperplasia with 5 - 浕 reductase inhibitor treatment, smooth muscle hyperplasia with 浕 - receptor blocker treatment, fibronectin or traditional Chinese medicine treatment of choice TURP invalid, mixed Type is the above combination therapy. The group achieved 95% improvement rate of efficacy. Conclusion: The application of histopathological principles to guide the treatment of CPPS deserves clinical further study.