|
このページを和訳したのは木村泌尿器皮膚科院長の木村明です。 和訳しようとした経緯及び途中で挫折した経緯はここをご覧ください。 これらの治療法が正しいと、木村が思っているわけでも、 これらの治療法を当院で行っているわけでもありません。 |
当院での慢性前立腺炎の治療有効率をグラフで示す。
Figure 9. Comparative evaluation of efficiency of different variants of prostatic drainage in patients with obstructive chronic prostatitis (as shown by ultrasound monitoring)
I - rectal pneumovibromassage + systemic and local enzyme therapy.
II - rectal pneumovibromassage + vacuum aspiration + systemic and local enzyme therapy.
III - rectal pneumovibromassage + vacuum aspiration + systemic and local enzyme therapy with enzyme pretreatment.
グラフのごとく、我々の方法は、10-15-20日の治療で97-100%の患者の、前立腺内の膿瘍をなくすことができる。 In 70-87% patients complete drain of the organ is achieved on the treatment day 10. For such a severe disease it is unbelievably short time. Our treatment is now so advanced and reliable that in a few recent years we had not a single case when we failed to drain the prostate completely. We were also successful in minimizing number of recurrences: activation of pathogenic microflora after the drainage with high body temperature in our clinic occurs only in 0.1-0.3 %.
強調しておかなければならないことがあります。 前立腺炎が客観的な証拠では治癒しているのに,治療前の症状が残る人がいます。 症状が残る原因は前立腺以外の臓器の影響が考えられます。 ですから我々は、治療開始前に他の合併症がないか、よく調べます。 言うまでもありませんが、合併症が非常に重く、症状をなくすことができないこともあります。
We report some cases as illustration. A patient R., 37 years of age, was admitted to our clinic for chronic prostatitis. Was ill for 10 years, previous treatments with antibiotics and prostatic massage failed. Pretreatment transrectal ultrasonic investigation gave the picture of the prostate presented in Figure 10. The patient was diagnosed to have a severe (obstructive) form of chronic prostatitis with numerous microabscesses in the prostate. After 15 days of treatment the patient showed a complete clinical recovery (Fig. 11).
a b
Figure 10 illustrates primary ultrasound findings in a 37-year-old patient R. Chronic gonorrheal-trichomonadal prostatitis. Initial ultrasound picture of the prostate is characterized by diffuse loss in image density (edema, inflammatory infiltration). One can see multiple small (1-2 mm in diameter) black spots of different shape (microabscesses) containing liquid content (pus) indicated by the red arrows. (a - transverse scanning, b - longitudinal scanning).
a b
Figure 11. The same patient after 15 days of treatment.
The prostate is drained completely. No microabscesses. The gland's tissue has normal structure and density - eradication of the edema and inflammatory infiltration.
(a - transverse scanning, b - longitudinal scanning). The arrows point to former zones of the most active inflammation.
Drainage - way to health
To summarize, the most severe and resistant to conventional treatment are those forms of chronic prostatitis which present with obstruction (purulent), microabscesses. Purulent chronic prostatitis accounts for at least 70% of cases diagnosed in patients seeking medical advice. Recovery in such cases depends on two factors: 1) detection of the microabscesses; 2) adequate drain of the microabscesses.
Both problems are solved in SANOS center: by transrectal ultrasonic investigation and our treatment technology, respectively. In our context the well-known law "all or nothing" sounds as "nothing can help the patient without prostate draining and after draining all will be beneficial". In other words, in purulent prostatitis the key is to free the prostate from pathogenic organisms. Only after this important measure, the physician should go over to the next treatment stages. Draining is the only process which allows revealing the causative agent "hiding" in purulent microcavities. When the causative agent is known, it becomes possible to select antibiotic to which the agent is sensitive. This raises significantly the effectiveness of antibacterial treatment. Because chronic prostatitis often involves other organs, good and persistent results come only after cure of associated affections. Thus, management of chronic prostatitis requires a systemic (integral) approach to each individual patient.
|
このページを和訳したのは木村泌尿器皮膚科院長の木村明です。 和訳しようとした経緯及び途中で挫折した経緯はここをご覧ください。 これらの治療法が正しいと、木村が思っているわけでも、 これらの治療法を当院で行っているわけでもありません。 |