CAJ | 학술논문

目的总结慢性前列腺炎(CP)合并精索精脉曲张(VC)诊断和治疗经验.方法 526例CP合并VC行超选择性精索内静脉高位结扎术.术后根据CP分型、慢性前列腺炎症状指数(CPSI)评分进行4～8周个体化治疗.结果术后3个月彩色多普勒血流显像仪(CDFI)测量精索静脉内径小于1.8mm468例,1.8mm以上58例.术后2个月526例患者的CPSI由治疗前19.2 ±4.8减少到治疗后的4.8±3.4,CPSI分值减少15.8;前列腺液常规正常388例(73.3%),细菌培养转阴146例(79.7%),手术前后对比,差异有显著性意义(p＜0.01).结论 CP合并VC的患者在精索内静脉结扎术后明显提高了CP的疗效.
목적 총결만성전렬선염(CP)합병정색정맥곡장(VC)진단화치료경험.방법 526례CP합병VC행초선택성정색내정맥고위결찰술.술후근거CP분형、만성전렬선염증상지수(CPSI)평분진행4～8주개체화치료.결과 술후3개월채색다보륵혈류현상의(CDFI)측량정색정맥내경소우1.8mm468례,1.8mm이상58례.술후2개월526례환자적CPSI유치료전19.2 ±4.8감소도치료후적4.8±3.4,CPSI분치감소15.8;전렬선액상규정상388례(73.3%),세균배양전음146례(79.7%),수술전후대비,차이유현저성의의(p＜0.01).결론 CP합병VC적환자재정색내정맥결찰술후명현제고료CP적료효.
Objectives To summarize diagnostic and therapeutic experience of chronic prostatitis combined with varicocele. Methods 526 varicocele patients with chronic prostatitis underwent superselective high ligation of the internal spematic veins. After operation,all the patients had individual treatment in 4-8weeks according to the type of CP and Chronic Prostatitis Symptom Index(CPSI). Results The diameter of spermatic vein＜1.8mm in 468 cases, while the diameter of spermatic vein ＞ 1.8mm in 58 cases in 3 months after operation. The CPSI scor e in 526 patients was decreased from 19.2 ±4.8 before treatment to 4.8 ± 3.4 after treatment. CPSI score decreased by 15.8. Routine examination of the prostatic secretions became normal in 388 cases(73.3% ) ,and bacterial culture became negtive in 146 cases(79.7% ). There was significant difference before and after operation. Conclusions In CP patients combined with VC, the curative effect was improved by superselective high ligation of the internal spematic veins.