Ⅲ型前列腺炎的实验室检查与病理检查的研究分析
发布时间：2018-02-28 03:04
本文关键词： 前列腺炎 实验室检查 病理检查 研究 出处：《延安大学》2014年硕士论文 论文类型：学位论文
【摘要】：目的：以实验室检查与病理检查为评价标准，，探讨III型前列腺炎中各级炎症程度的发病情况及特点。 方法：本次研究对象为在本院就诊,行经尿道前列腺电切术的前列腺增生83例患者,术前经泌尿系B超、CT或MRI诊断为前列腺增生,术后病理诊断为前列腺增生合并炎症。术前评估项目包括:前列腺按摩前尿液、前列腺按摩后尿液的尿培养及术后病理诊断。分析前列腺按摩前、后尿液培养与前列腺腺周炎症、前列腺腺体炎症及基质炎症的关系。 结果：83例BPH伴慢性炎患者的前列腺按摩前、后的尿培养的阳性率比较，差异具有明显统计学意义（χ2=16.760，P=0.001㩳0.01）：将入组的63例III型前列腺炎患者按不同病理类型进行分组，比较三种不同病理类型中炎症程度（G1：轻度、G2/G3：中重度）的情况，比较三组之间炎症程度分级情况，差异具有统计学意义(P＜0.01）；腺体炎与腺周炎、基质炎之间比较，差异均具有统计学意义(P＜0.0167）；腺周炎与基质炎之间比较，差异无统计学意义（P＞0.0167）。63例III型前列腺按摩前、后尿液中白细胞的阳性率比较，二种尿液中白细胞均阴性者（即：IIIB型前列腺炎）44例，前列腺按摩前尿液中白细胞阴性与前列腺按摩后尿液中白细胞阳性者（即：IIIA型前列腺炎）19例；将入组的20例II型前列腺炎患者按不同病理类型进行分组，比较三种不同病理类型中炎症程度（G1：轻度、G2/G3：中重度）的情况，比较三组之间炎症程度分级情况，差异具有统计学意义(P＜0.01）；腺体炎与腺周炎、基质炎之间比较，差异均具有统计学意义(P＜0.0167）；腺周炎与基质炎之间比较，差异无统计学意义（P＞0.0167）。 结论：III型前列腺炎组织病理学中，腺体炎症主要表现为轻度炎症，腺周炎症与基质炎症则主要以中重度炎症为主。II型前列腺炎组织病理学中，腺体炎症主要表现为中重炎症，腺周炎症与基质炎症则主要以轻度炎症为主。通过对前列腺炎增生伴慢性前列腺炎前列腺按摩前、后尿液培养和尿中显微镜下白细胞数目计数与术后NICK病理分型的对比研究，得出，实验室检查在评价Ⅲ型前列腺炎时具有一定的效果，在临床上有一定的指导意义。
[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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