Shabad A L, Rumiantsev V B, Kudriavtsev Iu V
Urol Nefrol (Mosk). 1995 Mar-Apr(2):30-3.
Clinical, laboratory and pathomorphological investigations evidence for close relationships between acute infectious inflammatory conditions of the prostate and thrombohemorrhagic complications arising both locally and systemically. All these postoperative complications manifesting clinically as acute prostatitis, epididymo-orchitis, urosepsis, bacteriotoxic shock, bleeding, thrombosis and embolism, latent or marked DIC syndrome have underlying local infectious-inflammatory process (postoperative acute prostatitis). Preoperative detection of local infection (concomitant chronic prostatitis), monitoring of hemocoagulation, antibacterial and antiinflammatory therapy of chronic prostatitis and normalization of blood rheology improve surgical outcomes in prostatic adenoma and lead to less frequent occurrence of both acute inflammatory and thrombohemorrhagic complications.
临床、实验室及病理形态学研究证明,前列腺急性感染性炎症状况与局部及全身出现的血栓出血性并发症之间存在密切关系。所有这些术后并发症在临床上表现为急性前列腺炎、附睾睾丸炎、尿脓毒症、细菌毒性休克、出血、血栓形成及栓塞、潜伏或明显的弥散性血管内凝血综合征,均有潜在的局部感染性炎症过程(术后急性前列腺炎)。术前检测局部感染(伴发慢性前列腺炎)、监测血液凝固、对慢性前列腺炎进行抗菌及抗炎治疗以及使血液流变学正常化,可改善前列腺腺瘤的手术效果,并减少急性炎症和血栓出血性并发症的发生频率。