经尿道精囊囊肿去顶减压术的应用  

Transurethral unroofing in seminal vesicle cyst

作　　者：王彦彬 徐智慧[3] 翁志梁[1] 肖艳[2] 蔡健[1] 李澄棣[1] 林礼彰[1] 

机构地区：[1]温州医学院附属第一医院泌尿外科,325000 [2]温州医学院附属第一医院病理科,325000 [3]杭州市第三人民医院泌尿外科

出　　处：《中华医学杂志》2009年第8期552-554,共3页National Medical Journal of China

摘　　要：目的探讨经尿道囊肿去顶减压术在精囊囊肿治疗中的效果。方法对7例经B超、CT、MRI及膀胱镜诊断为精囊囊肿的患者行经尿道囊肿去顶术并随访。结果手术顺利，平均手术时间20min，平均手术出血量5ml，平均住院时间3d，术后平均随访28．3个月，患者临床症状均消失，未见复发，1例逆行射精。3例术前未育患者中2例术后1年生育；1例术后因逆行射精，将尿液中精子行卵胞质内单精子注射术治疗，术后半年生育。结论经尿道囊肿去顶术具有创伤小，手术时间和术后住院时间短、术后恢复快的特点，是精囊外科手术治疗中的有效治疗方法。Objective To investigate the effects of transurethral unroofing in treatment of seminal vesicle cyst. Methods Seven patients seminal vesicle cyst 2. 1 cm ×3.0 cm × 3.3 cm - 5. 5 cm× 6. 3 cm × 10. 2 cm in size, aged 36 （21 - 65 ） , with the symptoms of hematospermia （4 cases）, hematuria （3 cases）, epididymitis （2 cases）, dysuria （1 case）, bladder irritation symptoms （1 case）, bloody mucus of urethral orifice after emiction （1 case ）, perineal discomfort （2 case ）, and infertility （3 cases ）, underwent transurethral unroofing of seminal vesicle cyst. Results Operation was performed successful on all 7 patients. The mean operative time was 20 min, the mean estimated operalive blood loss was 5 ml, and the mean hospital stay was 3 d. Follow-up was conduced for 28.3 months （8 months - 10 years）. All patients were free of symptoms after surgery, without recurrence and complications that needed further therapy. Two of the 3 patients with infertility succeeded in fertilization 1 year after surgery, and 1 patient with retrograde ejaculation underwent intracytoplasimc sperm injection and succeeded in fertilization 6 months after operation. Conclusion Transurethral unroofing provides an effective approach to the seminal vesicle cyst with minimal invasion, short hospitalization, and rapid recovery.

关 键 词：精囊 囊肿 经尿道囊肿去顶减压术 

分 类 号：R686[医药卫生—骨科学]