105例感染性尿道炎继发慢性前列腺炎的病原学分析

目的 :了解慢性前列腺炎患者的主要病原体感染情况 ,探讨其病因学特点。方法 :对10 5例尿道炎后慢性前列腺炎患者行中段尿 (VB2 )及前列腺按摩液 (EPS)的病原体检测并进行结果分析。结果 :VB2 细菌培养阳性 6 8例 (6 4.8% ) ,其中以表皮葡萄球菌为主要致病菌 30例 ,淋球菌 12例 ,埃希菌 9例 ,解脲脲原体 (UU )培养阳性 18例 (17.1% ) ;EPS细菌培养阳性 79例 (75 .5 % ) ,其中表皮葡萄球菌 2 7例 ,淋球菌 13例 ,埃希菌 7例 ,UU培养阳性 2 1例 (2 0 .0 % ) ;EPS经PCR检测UU阳性 2 3例 (2 1.9% ) ,沙眼衣原体 (CT)阳性 2 9例 (2 7.6 % )。同时经PCR检测出复合感染者 19例 (18.1% )。结论 :慢性前列腺炎患者感染主要以表皮葡萄球菌、淋球菌、埃希菌、UU及CT为主。

A Pathogenic Study of Chronic Prostatitis Following Urethritis

Objective: To study the pathogenesis of chronic prostatitis following urethritis. Methods: The urine and expressed prostatic secretions (EPS) of 105 patients were detected and analized with culture test and polymerase chain reaction (PCR). Results: 68 strains (64.8%) of bacteria ftrom 105 patients were cultured in urinary and EPS, In urine, 30 cases had Staphylococcus epidermidis, 12 with gonococcus, 9 with Escherichia coli and 21 with Ureaplasma urialyticum (UU). In EPS,79 strains of bacteria from 105 patients and 21/105 of UU were also detected and analized. 21.9% (23/105) of UU and 27.6% (29/105) of Chlamydia trachomatis (CT) showed positive results respectively. Conclusions: Staphylococcus epidermidis, gonococcus, Escherichia coli, Ureaplasma urialyticum (UU) and Chlamydia trachomatis (CT) were the main pathogens of chronic prostatitis following urethritis.