摘要
梗阻性无精子症是临床上较为常见的男科疾病,多见于附睾输精管段与射精管远端梗阻,并导致男性不育;其中由射精管梗阻造成的无精子症虽然较为少见,但随着如今内窥镜技术的发展,使该病可以通过手术得到解决。既往采用经尿道射精管口切开术(TURED)对射精管梗阻无精子症的患者进行治疗,但随着近年来对于该术式的深入研究以及术后患者的随访结果显示,TURED术后出现尿液-射精管反流和逆行射精等医源性损伤的发生率较高,故近年来致力于寻找一种损伤更小、效果更佳的手术方法来解决这个问题,此时精囊镜技术应运而生,也为进一步了解精囊及精道远端结构和功能,并且对目前所发现的疾病进行精确诊断与微创治疗创造了条件。本文就精囊镜技术对射精管梗阻的相关精液异常情况进行概述,并对精囊镜技术的手术方法、临床应用及研究进展作以下综述。
Obstructive azoospermia is a kind of common clinical disease,which often happens in epididymis,vas deferens and ejaculatory duct obstruction and accounts for male infertility.Azoospermia,which is caused by obstruction of the ejaculatory duct,is relatively rare.but the development of endoscopic technology now allows the disease to be resolved by surgery.In the past,transurethral resection of ejaculatory duct(TURED)has been used to treat patients with ejaculatory duct obstruction and azoosperm-free disease.But with the further study of TURED operation in recent years,as well as in patients with postoperative follow-up results showed that the urine-tube reflux and retrograde ejaculation ejaculation the incidence of iatrogenic injury is higherduring the TURED.therefore,in recent years,some experts committed to seeking a less damage and better effect of the surgical method.With the continuous development of endoscopic technology,seminal vesiculoscopy has come into being,which also creates conditions for further understanding the structure and function of the seminal vesicle and distal seminal duct,accurate diagnosis and minimally invasive treatment of the currently discovered diseases.In this article,we summarized the semen abnormalities associated with seminal vesiculoscopy in the treatment of ejaculatory duct obstruction,and also reviewed the surgical methods,clinical application and research progress of seminal vesiculoscopy.
作者
朱庆峰(综述)
管日戬(综述)
黄昭涵(综述)
武志刚(审校)
ZHU Qing-feng;GUAN Ri-jian;HUANG Zhao-han;WU Zhi-gang(Department of Urology,Lishui Municipal Central Hospital,Lishui,Zhejiang 323000,China;Department of Urology,Quzhou Hospital Affiliated to Wenzhou Medical University,Quzhou,Zhejiang 324000,China;The First Clinical College of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China;Department of Urology and Andrology,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang 325000,China)
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2023年第6期562-566,共5页
National Journal of Andrology
关键词
精囊镜
射精管梗阻
梗阻性无精子症
transurethral seminal vesiculoscopy
ejaculatory duct obstruction
obstructive azoospermia
