Laroche F, Perrot S, Menkes C J
Service de Rhumatologie A, Hôpital Cochin, Paris.
Presse Med. 1995 Jun 3;24(20):939-40.
Symphysitis of the pubis due to Streptococcus occurred after endoscopic resection of the prostate in a 69-year-old man. Despite a well conducted antibiotic regimen, signs persisted one year later and required arthrography that showed a prostato-symphysis fistula. This procedure might be used to find an explanation of certain persistent cases of symphysitis. Fistulization between the prostate and the pubic symphysis would be a new pathogenic hypothesis for symphysitis of the pubis.
一名69岁男性在前列腺内镜切除术后发生了由链球菌引起的耻骨联合炎。尽管采用了合理的抗生素治疗方案,但一年后症状仍持续存在,需要进行关节造影,结果显示存在前列腺-耻骨联合瘘。该检查方法或许可用于解释某些耻骨联合炎持续不愈的病例。前列腺与耻骨联合之间形成瘘管可能是耻骨联合炎的一种新的发病机制假说。