首页|Ⅲ型前列腺炎患者前列腺液中IL-6、IL-8、TNF-α水平及其临床应用价值

Ⅲ型前列腺炎患者前列腺液中IL-6、IL-8、TNF-α水平及其临床应用价值

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目的 分析Ⅲ型前列腺炎患者前列腺液(EPS)中白介素-6(IL-6)、白介素-8(IL-8)、肿瘤坏死因子-α(TNF-α)水平,探讨其的临床应用价值。方法 选取2021年7月至12月蚌埠市第三人民医院泌尿外科门诊收治的60例Ⅲ型前列腺炎患者作为研究组,其中Ⅲ A型(EPS中白细胞计数≥10个/HP)30例(ⅢA型组),ⅢB型(EPS中白细胞计数<10个/HP)30例(ⅢB型组)。另选取30例健康体检人员或健康志愿者作为对照组。检测研究对象EPS中IL-6、IL-8、TNF-α表达水平,分析其与慢性前列腺炎症状指数(CPSI)评分的相关性,通过受试者工作特征(ROC)曲线分析EPS中IL-6、IL-8及TNF-α水平诊断Ⅲ型前列腺炎的临床价值。结果 ⅢA型组、ⅢB型组EPS中IL-6、IL-8、TNF-α水平及CPSI评分均高于对照组,且ⅢA型组高于ⅢB型组,差异具有统计学意义(P<0。05)。ⅢA型、ⅢB型前列腺炎患者CPSI评分与其EPS中IL-6、IL-8、TNF-α水平均呈正相关(P<0。05)。ROC曲线结果显示,EPS中IL-6、IL-8和TNF-α诊断Ⅲ A型前列腺炎患者的临床价值优于诊断ⅢB型前列腺炎患者。结论 EPS中IL-6、IL-8、TNF-α可作为诊断Ⅲ型前列腺炎临床分型的潜在依据之一,且诊断Ⅲ A型前列腺炎的效果优于诊断ⅢB型前列腺炎。
The levels of interleukin-6,interleukin-8,and tumor necrosis factor-α in the expressed prostatic secretions of patients with type Ⅲ prostatitis and their clinical application values
Objective To analyze the levels of interleukin-6(IL-6),interleukin-8(IL-8),and tumor necrosis factor-α(TNF-α)in the expressed prostatic secretions(EPS)of patients with type Ⅲ prostatitis,and to explore their clinical application values.Methods A total of 60 patients with type Ⅲ prostatitis admitted to the Department of Urology,the Third People's Hospital of Bengbu from July 2021 to December 2021 were selected as the research group.Among them,30 cases were type Ⅲ A(white blood cell count ≥ 10/HP in EPS,type ⅢA group),and 30 cases were type Ⅲ B(white blood cell count<10/HP in EPS,type ⅢB group).Another 30 cases of health check-up personnel or healthy volunteers were selected as the control group.The levels of IL-6,IL-8,and TNF-α were detected in EPS of research objects,and their correlation with chronic prostatitis syndrome index(CPSI)score was analyzed.The clinical value of IL-6,IL-8 and TNF-α in EPS in diagnosing type Ⅲ prostatitis was analyzed through the receiver operating characteristics(ROC)curve.Results The IL-6,IL-8,TNF-α levels in EPS and CPSI score in the type Ⅲ A group and type Ⅲ B group were all higher than those in the control group,and those in the type Ⅲ A group were higher than those in the type ⅢB group,with statistically significant differences(P<0.05).The CPSI score of patients with type Ⅲ A and ⅢB prostatitis were positively correlated with the IL-6,IL-8,and TNF-α levels in EPS(P<0.05).The ROC curve results showed that the clinical value of IL-6,IL-8,and TNF-α in EPS in the diagnosis of type Ⅲ A prostatitis was better than that in the diagnosis of type ⅢB prostatitis.Conclusions IL-6,IL-8,and TNF-α in EPS can be used as one of the potential bases for diagnosing the clinical classification of type Ⅲ prostatitis,and the effect on diagnosing type Ⅲ A prostatitis is better than that on diagnosing type Ⅲ B prostatitis.

ProstatitisExpressed prostatic secretionsInterleukin-6Interleukin-8Tumor necrosis factor-α

周浩、孙超、李博、王刚、罗勇

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蚌埠市第三人民医院泌尿外科,安徽蚌埠 233000

前列腺炎 前列腺液 白介素-6 白介素-8 肿瘤坏死因子-α

2024

中国性科学
中国性学会

中国性科学

CSTPCD
影响因子:1.394
ISSN:1672-1993
年,卷(期):2024.33(12)