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目的了解湖南地区泌尿男科医师对慢性前列腺炎(CP)诊治的现状。方法在湖南省男科学会成立的学术会议上,对121位湖南地区泌尿男科医师进行问卷调查,收回有效问卷92份进行分析。结果在CP的病因上,87%的医师认为感染因素是最主要的因素,其中39%则认为感染是唯一因素,其余的则认为是多个因素引起的。在诊断方面,不同的医生采用不同的诊断策略。只有45%的医生选用细菌培养,其中85%选择前列腺液单纯培养、4%选择精液培养、9%两杯法培养、2%四杯法培养。在治疗上,94%的医师选择多种方法综合治疗。93%的医师必定选用抗生素,使用抗生素前3位的是大环内酯类、喹诺酮类、头孢类,多数医师使用2~3周。61%的医师会使用α-受体阻滞剂,大多数使用2~3周。61%的医师评估自己治疗效果很好或较好。结论泌尿男科医师对CP的病因及发病机理仍没有统一的认识,对该病的诊断和治疗有各自不同的选择。因此,制定一个合理的诊治指南并进行有关的培训是非常必要的。
Objective To understand the status of diagnosis and treatment of chronic prostatitis (CP) by urologists in Hunan Province. Methods At the academic conference established by Hunan Provincial Men’s Association, 121 urologists from Hunan Province were surveyed and 92 valid questionnaires were collected for analysis. Results In the etiology of CP, 87% of physicians thought that infection was the most important factor, of which 39% considered infection as the only factor and the others as multiple factors. Different doctors use different diagnostic strategies in diagnosis. Only 45% of the doctors choose bacterial culture, of which 85% choose prostatic fluid pure culture, 4% choose semen culture, 9% two cup culture, 2% four cup culture. In treatment, 94% of physicians choose a variety of methods of comprehensive treatment. 93% of physicians must use antibiotics, the first three antibiotics use macrolides, quinolones, cephalosporins, most physicians use 2 to 3 weeks. Sixty-one percent of physicians use alpha-blockers, mostly for two to three weeks. 61% of physicians rated their treatment as good or better. Conclusions Urological surgeons still do not have a unified understanding of the etiology and pathogenesis of CP, and have different choices for the diagnosis and treatment of the disease. Therefore, it is very necessary to develop a reasonable diagnosis and treatment guidelines and carry out relevant training.