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目的 :探讨经直肠超声 (TRUS)引导经会阴穿刺前列腺内药物注射治疗慢性前列腺炎的理想效果。方法 :将 70例患者随机分为 A、B两组 ,A组口服及静脉应用抗生素 ,共 2 0例。B组在 TRUS引导经会阴穿刺前列腺 ,内注射抗生素、强的松龙、利多卡因 ,共 5 0例。每隔 10天治疗一次 ,3次为一疗程 ,对其疗效进行评价。结果 :A组治愈 2例 (10 % ) ,有效 7例 (35 % ) ,无效 11例 (5 5 % )。B组治愈 46例 (92 % ) ,有效 4例 (8% ) ,无效为零。结论 :TRUS引导经会阴穿刺注射药物治疗慢性前列腺炎是一种有效的、治愈率高的理想的治疗方法。
Objective: To investigate the ideal effect of transrectal ultrasound (TRUS) guided percutaneous transurethral intrathecal drug injection in the treatment of chronic prostatitis. Methods: Seventy patients were randomly divided into A and B groups. Group A received oral and intravenous antibiotics for a total of 20 cases. In group B, transperitoneal prostate was punctured in TRUS, and antibiotics, prednisolone and lidocaine were injected in 50 cases. Treated once every 10 days, 3 times for a course of treatment to evaluate its efficacy. Results: Group A was cured in 2 cases (10%), effective in 7 cases (35%) and ineffective in 11 cases (55%). Group B cured 46 cases (92%), effective in 4 cases (8%), null and void. Conclusion: TRUS guided perineal puncture injection of drugs for chronic prostatitis is an effective, high cure rate ideal treatment.