摘要
目的探讨阴囊镜治疗附睾头肿物的效果及安全性。方法回顾性分析自2002年1月至2017年12月经中南大学湘雅二医院及福建省立医院收治的57例附睾头肿物患者,所有患者均行阴囊镜下附睾头肿物切除术。记录这些患者术前、术中及术后资料,分析阴囊镜治疗附睾头肿物的效果及其安全性,并评估患者对治疗的满意度。结果 57例患者均成功进行阴囊镜下手术治疗。术前34例(59.6%)考虑为囊性肿物,17例(29.8%)实质性肿物。平均手术时间为(32.5±7.8) min,其中用于术中观察(7.2±2.9) min,肿物切除(11.4±3.2) min。37例(64.9%)术后病理结果证实附睾囊肿,16例(28.1%)慢性非特异性附睾炎。平均随访(7.5±3.5)个月,17例(29.8%)发生并发症,并发症分级均为GradeⅠ～Ⅱ。其中阴囊水肿较为常见,为7例(12.3%)。患者治疗满意度评分(97.5±5.3)分。结论阴囊镜下附睾头肿物切除术是一种安全、有效的附睾头肿物微创治疗方法,临床上值得进一步推广应用。
Objective To evaluate the efficacy and safety of scrotoscope in the treatment of masses in caput epididymidis. Methods A retrospective analysis was performed on 57 patients with masses in caput epididymidis from January 2002 to December 2017 in The Second Xiangya Hospital of Central South University and Fujian Provincial Hospital. All patients underwent masses resection under scrotoscope. The preoperative, intraoperative, and postoperative data of these patients were well recorded, and the efficacy of scrotoscope for masses in caput epididymidis was analyzed. Moreover, the safety and the patient’s satisfaction with the treatment were also evaluated. Results All 57 patients underwent scrotoscope successfully. Preoperatively, 34 cases (59.6%) were considered cystic masses, 17 cases (29.8%) were considered solid masses. The average operation time was (32.5±7.8) min, involving (7.2±2.9)-min intraoperative observation and (11.4±3.2)-min tumor removal. According to the postoperative pathological findings, 37 cases (64.9%) were confirmed epididymal cysts, 16 cases (28.1%) were confirmed chronic non-specific epididymitis. Over an average follow-up of (7.5±3.5) months, complications occurred in 17 patients (29.8%), and Grade I-II complications were seen in all the patients. Among them, scrotal edema was found in 7 cases, accounting for 12.3%. The average score of patients’ satisfaction was (97.5±5.3) points. Conclusion The resection under scrotoscope is a safe, effective and minimally invasive treatment for masses in caput epididymidis. It is worthy of further application in future clinical practice.
作者
魏永宝
金中
张若晨
高云亮
王珂楠
吴进锋
李涛
朱庆国
叶烈夫
杨金瑞
WEI Yong-bao;JIN Zhong;ZHANG Ruo-chen;GAO Yun-liang;WANG Ke-nan;WU Jin-feng;LI Tao;ZHU Qing-guo;YE Lie-fu;YANG Jin-rui(Department of Urology,Provincial Clinical College of Fujian Provincial Hospital,Fujian Medical University,Fuzhou350001,China;Department of Urology,The Second Xiangya Hospital,Central SouthUniversity,Changsha 410011,China;Department of Urology,the First Affiliated Hospital ofDalian Medical University,Dalian 116011,China)
出处
《创伤与急诊电子杂志》
2018年第4期208-211,共4页
Journal of Trauma and Emergency(Electronic Version)
基金
湖南省科学技术厅课题(2013TT2002)
福建省卫生系统中青年骨干人才培养项目(2016ZQN-6)
关键词
阴囊镜
附睾
肿物
囊肿
电切
微创
疗效
Scrotoscope
Epididymis
Mass
Cyst
Electrotomy
Minimal invasion
Curative efficacy
