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慢性细菌性前列腺炎

慢性细菌性前列腺炎
(Chronic Bacterial Prostatitis)
男性生殖系统,图中指出前列腺Prostate)的位置
类型bacterial prostatitis[*]慢性前列腺炎
分类和外部资源
医学专科泌尿外科
ICD-10N41.1
ICD-9-CM601.1
DiseasesDB10801
MedlinePlus000523
eMedicine458391
[编辑此条目的维基数据]

慢性细菌性前列腺炎(Chronic Bacterial Prostatitis)是前列腺炎中的其中一种类型。一般没有急性过程,起病即为慢性。

症状比急性细菌性前列腺炎缓和,可是抗生素治疗所需时间更长。

慢性细菌性前列腺炎前列腺按出液光学显微镜下,每高倍视野中白细胞计数超过10个。前列腺按出液含锌量明显降低,降致0-50μg/ml 。

慢性细菌性前列腺炎患者的男性下尿路细菌定位培养是阳性;会在培养中找到公认的致病菌,即:患者前列腺内分离出该致病菌抗体。分离出的致病菌以大肠杆菌占最多数。

有效的抗菌后,男性下尿路细菌定位培养转为阴性;前列腺按出液光学显微镜检查以及前列腺按出液含锌量不正常将持续相当长一段时间。

治疗方式以较高剂量的抗生素,而且服用时间需要至少4星期。

氟喹诺酮类药物因为对前列腺穿透力佳,常被用作第一线药物来治疗慢性细菌性前列腺炎。

慢性细菌性前列腺炎患者需避免进食刺激膀胱的食物,如酒精、含咖啡因的饮料、柑桔果汁和辛辣的食物。多喝水常排尿,这有助于冲刷尿道,排走细菌。

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慢性细菌性前列腺炎
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