摘要
目的寻求和评价临床治疗严重精囊疾病和血精的新方法,为保守治疗无效的该类患者提供新的治疗措施。方法5例经长期保守治疗无效,存在明显精囊部症状或血精症状患者(年龄48～77岁,平均55.4岁),病史4～10年,平均7.2年。采用经尿道途径,通过精囊外入路和/或精囊内入路,分别进行了精囊电切除术或电灼治疗。结果5例患者均成功进行电切或电灼治疗,手术时间50～65min,失血量20～50ml。无术中或术后并发症发生,术后病理均证实所切除精囊组织显非特异性慢性炎症。对所有患者随访4～12个月,均述术前症状消失,恢复性生活后,存在射精和性高潮快感。结论作为一种全新的精囊微创治疗技术,经尿道微创精囊电切术适用于长期慢性血精或其他严重精囊疾病且保守治疗无效的患者,可在严格掌握指证下推广应用。
Objective To find the novel treatment method of severe seminal vesicle （SV） disease and hemospermia for those who fail to respond to other treatment modalities.Methods Five patients at the age of 48 to 77 （mean 55.4）,who had significant symptoms of SV disease and hemospermia for 4 to 10 years that failed to respond to conservative treatment,underwent transurethral electro-resection or electric cauterization of SV through extra-or intra-seminal vesicle approach.Results Transurethral electro-resection or electric cauterization of SV was successfully performed for the 5 patients.The operation time was 50 to 65 min and the amount of blood loss in patients was 20 to 50 ml.No complication occurred during or after operation.Pathological examination after operation showed non specific chronic inflammation in the resected SV tissue.The patients were followed up for 4 to 12 months,during which their pre-operation symptoms disappeared and their sexual life was recovered with hedonia.Conclusion As a brand-new procedure,minimally invasive transurethral electro-resection of SV can be performed for those with severe SV disease which fails to respond to conservative treatment.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2010年第9期971-974,共4页
Journal of Third Military Medical University
关键词
精囊疾病
血精
电切
微创治疗
seminal vesiculitis
hemospermia
transurethral resection
endoscopic treatment
