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目的探讨前列腺血吸虫病的临床特点及诊治方法。方法对1例血清PSA升高的前列腺增生患者行前列腺穿刺活检,共穿刺十条前列腺组织。结果前列腺穿刺组织病理结果提示为前列腺增生,前列腺平滑肌组织中可见血吸虫虫卵沉积。行经尿道前列腺电切治疗,康复出院。结论前列腺血吸虫病是一种极为罕见的疾病,可引起血清PSA升高。前列腺癌与血吸虫病的关系未明确。提示对血清PSA升高的患者,应结合血吸虫病流行病学资料,避免误诊。
Objective To investigate the clinical features and diagnosis and treatment of prostatic schistosomiasis. Methods One patient with benign prostatic hyperplasia who had elevated serum PSA underwent prostate biopsy and punctured ten prostatic tissues. Results Prostatic puncture histopathological findings suggest that benign prostatic hyperplasia, prostatic smooth muscle tissue can be seen Schistosoma egg deposition. Transurethral resection of prostate treatment, rehabilitation discharged. Conclusions Prostate schistosomiasis is a very rare condition that causes elevated serum PSA. The relationship between prostate cancer and schistosomiasis is not clear. Tips for patients with elevated serum PSA should be combined with epidemiological data on schistosomiasis to avoid misdiagnosis.