Lange U, Berliner M, Weidner W, Schiefer H G, Schmidt K L, Federlin K
Medizinische Klinik und Poliklinik der Justus-Liebig-Universität Giessen.
Z Rheumatol. 1996 Jul-Aug;55(4):249-55.
We examined 134 male patients with confirmed ankylosing spondylitis. The study protocol included a medical-rheumatological examination and thorough exploration for infections of the urinogential tract. An urethroadnexitis was found in 37 of 134 patients (27.6%): Two patients suffered from balanitis, 17 patients from urethritis, 18 patients from prostatitis, and two patients from epididymitis. Only four patients gave a history of urethritis and eight patients of prostatitis. The microorganisms isolated most frequently from patients with urogenital infection were Chlamydia trachomatis and, in few cases, Ureaplasma urealyticum. By comparing the urethroadnexitis group and the non-infected group with regard to other clinical parameters, we found a significantly increased C-reactive protein in the infected group. Other clinical parameters like involvement of the free spinal column, inflammatory involvement of the joints, and HLA-B27 correlation did not differ significantly.
我们检查了134例确诊为强直性脊柱炎的男性患者。研究方案包括医学-风湿病学检查以及对泌尿生殖道感染的全面排查。134例患者中有37例（27.6%）发现有尿道附件炎：2例患有龟头炎，17例患有尿道炎，18例患有前列腺炎，2例患有附睾炎。只有4例患者有尿道炎病史，8例有前列腺炎病史。泌尿生殖道感染患者中最常分离出的微生物是沙眼衣原体，少数情况下为解脲脲原体。通过比较尿道附件炎组和未感染组的其他临床参数，我们发现感染组的C反应蛋白显著升高。其他临床参数，如脊柱游离段受累情况、关节炎症受累情况以及HLA-B27相关性，差异均无统计学意义。
