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目的:研究前列腺脓肿(ProstaticAbscess,PA)的病因、临床表现及诊疗方法。方法:分析2例前列腺脓肿患者的临床资料,并以前列腺脓肿为关键词或题名检索CNKI中国知网、维普和万方期刊数据库2000~2014年的文献报道,进行荟萃分析。结果:2例前列腺脓肿均经临床确诊且行药物静脉滴注治疗后病情迅速缓解;检索中共整理16篇文献116例患者,回顾性分析发现该病病发与糖尿病史、前列腺炎密切相关,大肠埃希菌及金黄色葡萄球菌是主要致病菌,临床多行经直肠穿刺引流治疗。结论:详细了解前列腺脓肿病因、临床表现、致病菌、治疗方法等信息能促使医务人员深入了解该病特征,以防临床诊治中发生误诊或漏诊,对及时了解患者病情并给予对症治疗具有重要的作用。
Objective: To study the etiology, clinical manifestations and diagnosis and treatment of prostatic abscess (PA). Methods: The clinical data of 2 patients with prostatic abscess were analyzed, and the literature reports of CNKI, VIP and Wanfang Periodical Database from 2000 to 2014 were searched with keyword or title of the prostate abscess for meta-analysis. Results: Two cases of prostatic abscess were diagnosed clinically and were treated with intravenous drug intravenously. The disease was quickly relieved. Sixty-six patients with 116 articles were retrieved and analyzed retrospectively. The incidence of diabetes was closely related to the history of diabetes mellitus and prostatitis. Fungi and Staphylococcus aureus is the main pathogen, clinical multi-line transrectal puncture drainage treatment. Conclusion: A detailed understanding of the etiological factors, clinical manifestations, pathogens, treatment methods and other information can prompt medical staff to understand the characteristics of the disease in order to prevent misdiagnosis or missed diagnosis in clinical diagnosis and treatment, to keep abreast of the patient’s condition and give symptomatic treatment is important Role.