血精症的病因诊断及治疗  

Etiological Diagnosis and Management of Hemospermia

作　　者：陈梓甫[1] 

机构地区：[1]福建省立医院泌尿外科,福建福州350001

出　　处：《中华男科学杂志》2008年第10期867-870,共4页National Journal of Andrology

摘　　要：血精是指肉眼可见精液中含有血液。男性生殖系、下泌尿系及全身性疾病都可能引起血精。血精症好发于青年男性,多数是良性病变及自限性症状,通常只需做些基本检查及一般的治疗。但有些患者血精呈持续性或反复发作,而且有少数血精是泌尿系及男性生殖系恶性肿瘤的首发症状,所以对年龄40岁以上,持续性及复发性血精患者要进一步做影像学及内腔镜检查,作出明确的病因诊断,并进行相应的治疗。本文复习血精的病因、基本检查及诊断、影像学诊断技术及内腔镜检查,并简要介绍血精的治疗。Hemospermia refers to the macroscopic presence of blood in semen, which may be associatedwith male genital tract, lower urinary tract and systemic diseases. Hemospermia is prevalent in young males. It is mostly a benign lesion and self-limited symptom, requiting only basic investigations and simple management. But in a few patients , it may be the primary symptom of urogenital malignancy. Therefore in patients older than 40 years, or in those with persistent or recurrent hemospermia, further investigation should be conducted by imaging and endoscopic examinations to make definite etiological diagnosis and give corresponding treatment. This article reviews the etiology, initial diagnostic workup, imaging techniques and endoscopic examination of hemospermia, and summefies its management. Natl J Androl, 2008, 14（10） ： 867-870

关 键 词：血精 自限性症状 影像学诊断技术 内腔镜检查 

分 类 号：R697.2[医药卫生—泌尿科学]