本文關(guān)鍵詞： 前列腺炎 實驗室檢查 病理檢查 研究　出處：《延安大學(xué)》2014年碩士論文　論文類型：學(xué)位論文

【摘要】：目的：以實驗室檢查與病理檢查為評價標(biāo)準(zhǔn)，，探討III型前列腺炎中各級炎癥程度的發(fā)病情況及特點。 方法：本次研究對象為在本院就診,行經(jīng)尿道前列腺電切術(shù)的前列腺增生83例患者,術(shù)前經(jīng)泌尿系B超、CT或MRI診斷為前列腺增生,術(shù)后病理診斷為前列腺增生合并炎癥。術(shù)前評估項目包括:前列腺按摩前尿液、前列腺按摩后尿液的尿培養(yǎng)及術(shù)后病理診斷。分析前列腺按摩前、后尿液培養(yǎng)與前列腺腺周炎癥、前列腺腺體炎癥及基質(zhì)炎癥的關(guān)系。 結(jié)果：83例BPH伴慢性炎患者的前列腺按摩前、后的尿培養(yǎng)的陽性率比較，差異具有明顯統(tǒng)計學(xué)意義（χ2=16.760，P=0.001㩳0.01）：將入組的63例III型前列腺炎患者按不同病理類型進(jìn)行分組，比較三種不同病理類型中炎癥程度（G1：輕度、G2/G3：中重度）的情況，比較三組之間炎癥程度分級情況，差異具有統(tǒng)計學(xué)意義(P＜0.01）；腺體炎與腺周炎、基質(zhì)炎之間比較，差異均具有統(tǒng)計學(xué)意義(P＜0.0167）；腺周炎與基質(zhì)炎之間比較，差異無統(tǒng)計學(xué)意義（P＞0.0167）。63例III型前列腺按摩前、后尿液中白細(xì)胞的陽性率比較，二種尿液中白細(xì)胞均陰性者（即：IIIB型前列腺炎）44例，前列腺按摩前尿液中白細(xì)胞陰性與前列腺按摩后尿液中白細(xì)胞陽性者（即：IIIA型前列腺炎）19例；將入組的20例II型前列腺炎患者按不同病理類型進(jìn)行分組，比較三種不同病理類型中炎癥程度（G1：輕度、G2/G3：中重度）的情況，比較三組之間炎癥程度分級情況，差異具有統(tǒng)計學(xué)意義(P＜0.01）；腺體炎與腺周炎、基質(zhì)炎之間比較，差異均具有統(tǒng)計學(xué)意義(P＜0.0167）；腺周炎與基質(zhì)炎之間比較，差異無統(tǒng)計學(xué)意義（P＞0.0167）。 結(jié)論：III型前列腺炎組織病理學(xué)中，腺體炎癥主要表現(xiàn)為輕度炎癥，腺周炎癥與基質(zhì)炎癥則主要以中重度炎癥為主。II型前列腺炎組織病理學(xué)中，腺體炎癥主要表現(xiàn)為中重炎癥，腺周炎癥與基質(zhì)炎癥則主要以輕度炎癥為主。通過對前列腺炎增生伴慢性前列腺炎前列腺按摩前、后尿液培養(yǎng)和尿中顯微鏡下白細(xì)胞數(shù)目計數(shù)與術(shù)后NICK病理分型的對比研究，得出，實驗室檢查在評價Ⅲ型前列腺炎時具有一定的效果，在臨床上有一定的指導(dǎo)意義。
[Abstract]:Objective: to investigate the incidence and characteristics of III prostatitis with laboratory and pathological examination. Methods: 83 patients with benign prostatic hyperplasia (BPH) underwent transurethral resection of the prostate (TURP) were diagnosed as benign prostatic hyperplasia (BPH) by ultrasonography CT or MRI. Preoperative evaluation items include urine before prostate massage, urine culture after prostate massage and postoperative pathological diagnosis. Relationship between post-urine culture and periglandular inflammation, prostatic gland inflammation and stromal inflammation. Results the positive rate of urine culture in 83 cases of BPH with chronic inflammation before and after prostate massage was significantly different (蠂 ~ (2 +) ~ (16.760) P ~ (0.001)? 0.01U: 63 patients with III prostatitis were divided into three groups according to different pathological types. The inflammatory degree of G1: mild G2 / G3: moderate or severe) was compared among the three pathological types, and the grade of inflammation was compared among the three groups. The difference was statistically significant (P < 0.01), the difference between adenitis, periglandular inflammation and stromal inflammation was statistically significant (P < 0.0167), there was no significant difference between adenositis and stromal inflammation (P > 0.0167). The positive rate of white blood cells in the later urine was compared. In both cases, 44 cases of prostatitis of type IIIB were negative in the two kinds of urine (I. e., 44 cases of prostatitis of type IIIB). Twenty patients with type II prostatitis were divided into two groups according to different pathological types: 19 cases with WBC negative in urine before prostatic massage and 19 cases with positive WBC in urine after prostatic massage (I. e., 20 cases of type II prostatitis). To compare the degree of inflammation (G1: mild G2 / G3: moderate and severe) among the three different pathological types, and to compare the grade of inflammation between the three groups, the difference was statistically significant (P < 0.01); the difference between adenitis and periglandular inflammation and stromal inflammation was significant (P < 0.01). The difference was statistically significant (P < 0.0167), but there was no significant difference between periadenitis and stromal inflammation (P > 0.0167). Conclusion in the histopathology of type III prostatitis, glandular inflammation is mainly mild inflammation, while periglandular inflammation and stromal inflammation are mainly moderate and severe inflammation. Type II prostatitis histopathology, glandular inflammation is mainly moderate and heavy inflammation. Periglandular inflammation and stromal inflammation were mainly mild inflammation. A comparative study was made on urine culture and count of white blood cells in urine after prostatitis with chronic prostatitis before and after prostatic massage and NICK pathological classification after operation. It is concluded that laboratory examination has certain effect in evaluating type 鈪

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