Method of checking
(1) Rectal test: It is a conventional examination of prostatitis.During the test, the prostate size is different, the surface is irregular, and some glands have hardened or have small hardships. Most of them have mild tenderness.
(2) Prostate liquid examination: The negative result of one examination cannot be easily eliminated; and the positive result can generally make a diagnosis of chronic prostatitis.
(3) Bacterial examination: help diagnosis and treatment.The positive results can be diagnosed as bacterial chronic prostatitis.
(4) Test (biopsy) of prostate puncture live tissue (biopsy): It has a decisive significance for the diagnosis of chronic prostatitis, but it is of little significance to distinguish between bacteria or non -bacterial prostatitis.Because the general method can make a clear diagnosis, this law is not commonly used clinically.
(5) Ultrasonic examination: Among some patients with chronic prostatitis, the envelope reflection is not smooth due to local exudation, fibrosis, and adhesion.Limitation reflection is reduced.This test can be used for clinical reference.
(6) Immune measurement: Apply a specific antigen Ogenpace test, 82%of chronic colonbaccinistic prostatitis patients in patients in the serum of E. coli antibodies, but only patients with colonic urethritis and normal human serum colonBacteria antibodies are low.However, this inspection is currently applied less and needs to be studied in depth.
Diagnostic criteria for prostatitis:
(1) Symptoms
Divided into two categories.One is the symptoms of lower urine trails, and the other is the symptoms of inflammatory response or reflex pain.It is manifested by frequent urination, urgency, urgency, and incompetent urination. The urethra is burning. The perineum, external genital area, lower abdomen, upper pubic zone, waist, and pain around the anus are swollen and painful.
(2) Prostate strike
The texture is full of glands, uneven soft and hard, or inflammatory nodules, or the texture is tough, there may be limited tenderness, and the gland can increase, normal, or shrink.
(3) Prostate fluid (USS) mirror detection
BC "10/HPE lecithin small body decreases or disappears.
(4) Semen examination
If the prostate fluid cannot be obtained, semen can be taken.However, it should be based on Rui & mdash; Ji dyeing mirror examination, and white blood cell counting "1 × 106/m1 is abnormal.
(5) EPS bacterial culture
Bacterial culture is positive, combined with the history of urinary tract infection, and repetitive bacterial culture as the same consensus bacteria, can diagnose a bacterial inflammation 5 bacterial culture of bacterial culture can be diagnosed as non -bacterial prostatitis.
(6) Stamey Four Cup Method Test
Inpatient patients should take the STAMEY four -cup method to diagnose chronic prostatitis and identify bacterial and non -bacterial prostatitis.Depending on the four S or VB: Compared with VBL, at least one different person can diagnose prostatitis.VBL's bacteria can be considered as an anterior urethral infection than VB2. Both VBL and W3 bacteria are small.When the four s cannot be available, the result of the W3 is multiplied by LOO, that is, the EPS value.
(7) Ultrasonic examination
① The sound image diagram is obviously abnormal: manifested as normal or reduced the size of the prostate, and the internal echo is uneven. It can be seen that enhanced light spots and nodule echoes are enhanced, thickened, and rough;
② The sound image diagram is mild abnormal: manifested as normal or slightly increased the size of the prostate, the internal echo is slightly strong or slightly weak, and the echo of the membrane is not clear.
(Editor in charge: Wang Shaohua)
