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经直肠热疗治疗慢性前列腺炎

[Transrectal hyperthermia for the treatment of chronic prostatitis].

作者信息

Kumon H, Ono N, Uno S, Hayashi T, Hata K, Takenaka T, Watanabe T, Ohmori H

机构信息

Department of Urology, Okayama University Medical School.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1993 Feb;84(2):265-71. doi: 10.5980/jpnjurol1989.84.265.

Abstract

A total of 36 cases with chronic non-bacterial and non-chlamydial prostatitis or prostatodynia underwent 5 weekly, 1-hour sessions of transrectal microwave hyperthermia (43 degrees C) to the prostate. All patients had a long history of the condition and failed to respond to a variety of conventional treatments. The efficacy of the treatment was evaluated by the effects on subjective symptoms and/or on white blood cells in expressed prostatic secretions. Concerning the overall clinical efficacy, excellent results were obtained in 11 (30.6%), good in 8 (22.2%), fair in 8 (22.2%) and poor in 9 (25.2%). Although minor complications were noted in 5 cases (anal pain; 2, hematospermia; 1, hematuria; 1), all cases received full sessions. These results indicated the usefulness of the hyperthermia for this benign condition, which has so far responded poorly to the conventional therapy.

摘要

共有36例慢性非细菌性、非衣原体性前列腺炎或前列腺痛患者接受了每周1次、每次1小时、共5周的经直肠微波热疗(43摄氏度)治疗前列腺。所有患者病程均较长,对多种传统治疗均无反应。通过对主观症状和/或前列腺液中白细胞的影响来评估治疗效果。关于总体临床疗效,11例(30.6%)效果极佳,8例(22.2%)良好,8例(22.2%)尚可,9例(25.2%)较差。虽然5例出现了轻微并发症(肛门疼痛2例、血精1例、血尿1例),但所有病例均完成了全部疗程。这些结果表明热疗对这种良性疾病有用,而这种疾病迄今为止对传统治疗反应不佳。

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