摘要
目的：探讨经尿道精囊镜技术在精囊疾病诊治中的临床应用价值。方法：回顾性分析我院泌尿外科2009年10月-2013年2月采用经尿道精囊镜治疗顽固性血精52例患者的临床资料,并结合文献复习临床常见的精囊疾病的病因和诊治方法。本组患者均由药物及物理疗法治疗3个月无效。术前完善常规检查后,进行精囊灌洗,射精管扩张、钬激光碎石以及精囊囊肿去顶等治疗,术后定期随访。结果：本组52例均进镜成功,镜检示血精36例,精囊慢性炎症27例,精囊囊肿18例,精囊结石17例,射精管梗阻16例,精囊脓肿合并附睾结核1例,精囊淀粉样变3例,精囊肉芽肿1例。术后随访3-12个月,2例术后出现急性附睾炎,给予抗感染治疗后治愈,未出现尿失禁、急性前列腺炎和直肠损伤等并发症。结论：经尿道精囊镜技术在对精囊疾病进行检查的同时也可以治疗精囊疾病,是诊断治疗精囊疾病的一种安全、有效、微创的新技术,值得临床推广。
Objective：To explore the value of transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicular disease.Method：A retrospective analysis was adopted.52 cases of seminal vesicular disease were diagnosed and treated by transurethral seminal vesiculoscopy from October 2009 to February 2013.Related literatures of seminal vesicular disease were reviewed.All the cases weren’t sensitive to pharmacotherapy and physical therapy for three months.After accomplishing the routine examination,seminal vesicle lavage,ejaculatory duct expansion,holmium laser lithotrity and seminal vesicle cyst unroofing were used to treat seminal vesicular disease.Postoperative follow-up was taken periodically.Result：All of the 52 cases were successfully performed the procedure.In this group,there were 36 patients with hematospermia,27 cases with chronic seminal vesiculitis,18 patients with seminal vesicle cyst,17 cases with seminal vesicle calculus,16 cases with ejaculatory ducts obstruction,one seminal vesicle abscess combined with epididymis tuberculosis,three cases with seminal vesicle amyloidosis and one seminal vesicle granuloma.During the follow-up period of 3-12 months,acute epididymitis appeared in two cases postoperatively,and released by antibiotics.The complications such as urinary incontinence,acute prostatitis and rectal injury were not observed in all cases.Conclusion：Transurethral seminal vesiculoscopy could be a safe,effective and minimally invasive new technology for examining and treating the seminal vesicular diseases.Its worth widespreadly promoting clinically.
出处
《临床泌尿外科杂志》
2014年第11期960-962,966,共4页
Journal of Clinical Urology
关键词
精囊镜技术
血精
精囊炎症
精囊结石
精囊囊肿
seminal vesiculoscopy
hematospermia
seminal vesiculitis
seminal vesicle calculus
seminal ves-icle cyst
