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早年有人提出膀胱充盈时如咳嗽、喷嚏、排便用力,均可出现无菌尿返流,造成附睾炎。有人则认为附睾炎多来自于前列腺炎或精囊炎。Berger等曾报道沙眼原体是35岁以下男性急性附睾炎的主要致病源(50%),而大肠杆菌则是35岁以上患者的主要致病源(75%)。作者对18例急性单侧附睾炎的患者进行了以下检查:前尿道拭子涂查衣原体,中段尿及前列腺按摩后尿液的镜检及培养,清晨尿耐酸杆菌培养;经直肠超声检查精囊,8～12周后复查。
Earlier it was suggested that when filling the bladder, such as coughing, sneezing, defecation force, can appear sterile urine reflux, causing epididymitis. Some people think that epididymitis mostly comes from prostatitis or Vesiculitis. Berger et al. Reported that C. trachomatis is a major cause of acute epididymitis (50%) in men under 35 years of age, whereas E. coli is the major cause (75%) of patients over 35 years of age. The authors examined 18 patients with acute unilateral epididymitis who had undergone urethral swabs for microscopic examination and culture of urine after Chlamydia trachomatis, mid-stage urine and prostate massage, early morning acid-fast bacilli cultures, transrectal ultrasonography of seminal vesicles, 8 to 12 weeks after the review.