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目的探讨Meares检查法诊断慢性前列腺炎的价值。方法对77例慢性前列腺炎患者用Meares法行细菌定位,并于初段尿(VB1)前取尿道拭子Ⅰ,中段尿(VB2)后取尿道拭子Ⅱ行细菌培养。对其中40例患者行经会阴前列腺穿刺取前列腺液培养细菌。结果拭子Ⅰ、Ⅱ细菌符合率96%,拭子Ⅱ、前列腺液细菌符合率88%。用Meares法40例患者前列腺液细菌阳性率85%,用穿刺法细菌阳性率仅10%。二者有显著差异。结论Meares法不能避免细菌污染前列腺液,该法诊断价值值得怀疑
Objective To investigate the value of Meares test in the diagnosis of chronic prostatitis. Methods 77 patients with chronic prostatitis were divided into two groups by Meares method. The urethral swabⅠand the middle of the urine (VB2) were taken before the first stage of urine (VB1). Forty of them underwent transurethral prostate puncture and prostatic fluid culture. Results The results showed that the coincidence rate of swab Ⅰ and Ⅱ was 96%, and the coincidence rate of swab Ⅱ and prostatic fluid was 88%. Forty patients with Meares prostate fluid positive bacteria rate of 85%, with the puncture method of bacteria positive rate of only 10%. There are significant differences between the two. Conclusion Meares method can not avoid bacterial contamination of prostatic fluid, the diagnostic value of the method is questionable