【摘要】 目的:探讨慢性非细菌性前列腺炎患者前列腺液(EPS)的酸碱度(pH)值在鉴别Ⅲa和Ⅲb前列腺炎诊断中的意义。方法:回顾性分析慢性非细菌性前列腺炎患者84例(Ⅲa组39例,Ⅲb组45例)临床资料,按CPSI对疼痛症状(CPSI-P)和排尿症状(CPSI-U)分别评分,并测定EPS中pH值、白细胞计数和尿酸(UA)浓度。结果:Ⅲa和Ⅲb两组患者.EPS中的pH值(7.5±0.4 vs 6.3±0.3,P<0.05)、白细胞计数(17.4±7.5 vs 3.4±2.6,P<0.05)和UA浓度(328.4±78.2 vs 486.0±81.9,P<0.05)差异均有显著性意义;EPS中的pH值与UA浓度呈负相关,与EPS中的白细胞计数呈正相关。结论:慢性非细菌性前列腺炎Ⅲa和Ⅲb患者的EPS中不仅白细胞计数,而且pH值和UA浓度差异也有显著性意义;Ⅲa患者pH值高,UA浓度低;Ⅲb患者pH值低,UA浓度高。EPS中的pH值检测简单易行,有助于鉴别Ⅲa和Ⅲb患者。更多还原

【Abstract】 Purpose:To investigate the value of pH level of expressed prostatic secretion (EPS) in differentiation of chronic prostatitis/chronic pelvic pain syndrome categories Ⅲ A and Ⅲ B. Methods: A total of 84 patients with the chronic prostatitis/chronic pelvic pain syndrome, including 39 with inflammatory category Ⅲ A and 45 with noninflammatory category Ⅲ B disease, were evaluated for the National Institutes of Health-Chronic Prostati-tis Symptom Index. The levels of pH, white blood cell (WBC) per high power microscopic field, uric acid in the EPS of Ⅲ a and Ⅲ b were measured respectively. Results:The EPS of Ⅲ a patients compare with ??? b has significant difference in level of pH(7. 5±0. 4 vs 6. 3 ± 0.3, WBC (17.4 ± 7.5 vs 3. 4 ± 2. 6) and uric acid (328. 4?78. 2 vs 486. 0?81. 9). The pH level of EPS correlated directly with uric acid levels and WBC counts, inversely with pain severity. Conclusions: The pH level was higher in inflammatory category Ⅲ A than noninflammatory category Ⅲ B and can differentiate these two kinds of category more accurately when combining with the WBC count of EPS.更多还原