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目的提高前列腺炎的诊治水平。方法对近5年来临床工作中遇到的前列腺炎漏诊、误诊及认识有误的病例进行分析、探讨。结果有12例急性前列腺炎被误诊、漏诊,其中5例误诊为上呼吸道感染,7例诊断为尿路感染。15例前列腺增生(BPH)伴慢性前列腺炎者,漏诊了前列腺炎。17例慢性前列腺炎伴有其它泌尿生殖系疾病者,漏诊了其中之一。15例前列腺液常规中白细胞数与前列腺炎严重程度及治疗效果不一致。4例B超检查提示前列腺炎,患者无不适,按前列腺炎治疗后反而出现症状。结论前列腺炎诊治中尚存在一些问题。临床工作中需开阔思路,多做肛指检查。对症状、体征、前列腺液检查、B超检查结果等进行综合考虑,才能作出正确的诊断和治疗。
Objective To improve the diagnosis and treatment of prostatitis. Methods The cases of misdiagnosis and misdiagnosis of prostatitis encountered in clinical work during the past 5 years were analyzed and discussed. Results of 12 cases of acute prostatitis were misdiagnosed, missed diagnosis, 5 cases were misdiagnosed as upper respiratory tract infection, 7 cases diagnosed as urinary tract infection. 15 cases of benign prostatic hyperplasia (BPH) with chronic prostatitis, missed diagnosis of prostatitis. 17 cases of chronic prostatitis associated with other genitourinary diseases, missed one of them. 15 cases of prostatic fluid routine white blood cell count and the severity of prostatitis and the treatment effect is inconsistent. 4 cases of B-ultrasound prompted prostatitis, patients without discomfort, but after treatment of prostatitis but symptoms. Conclusion There are still some problems in the diagnosis and treatment of prostatitis. Need to broaden the mind in clinical work, do more anal check. Symptoms, signs, prostatic fluid examination, B-ultrasound findings and other comprehensive consideration, to make the correct diagnosis and treatment.