输尿管镜技术在血精症诊断和治疗中的应用  

Transurethral ureteroscopy in the diagnosis and treatment of hemospermia

作　　者：傅丰文[1] 车建平[1] 高轶[1] 徐丹枫[1] 

机构地区：[1]上海长征医院泌尿外科,上海200003

出　　处：《中华男科学杂志》2010年第12期1105-1107,共3页National Journal of Andrology

摘　　要：目的：探讨经尿道输尿管镜技术在血精症诊断和治疗中的应用和可行性。方法：采用经尿道输尿管镜技术对43例血精症患者进行经尿道输尿管镜检查和冲洗取石,并对治疗经验进行总结,以探讨经尿道输尿管镜技术在血精症诊断和治疗中的应用价值。结果：43例检查均成功,明确了病因,进行了冲洗、取石等治疗,平均手术时间25（18-45）min,术中、术后无明显并发症,随访1-24个月,血精完全消失35例,症状减轻者6例,无效者2例,术后性生活均正常,均无逆行感染发生。结论：应用经尿道输尿管镜技术对血精症诊断和治疗的安全性高、病因诊断率高,治疗效果好,可以同时达到检查和治疗的目的,具有很好的临床应用价值,值得在临床推广应用。Objective：To explore the clinical application value of transurethral ureteroscopy in the diagnosis and treatment of hemospermia.Methods：We summed up and analyzed the experience in the diagnosis and treatment of 43 hemospermia patients by transurethral ureteroscopy and douching therapy.Results：The disease causes were clearly determined and the therapeutic procedures successfully accomplished in all the cases.The mean surgical time was 20（18-45） minutes.No significant complications developed either intraoperatively or postoperatively.The patients were followed up for 1-24 months,during which hemospermia symptoms completely disappeared in 35 and were relieved in 6 of the cases,but the other 2 remained unimproved.All the patients had normal sexual life and none experienced retroinfection postoperatively.Conclusion：Transurethral ureteroscopy,advantageous for its safety,high rate of detection,good effect of treatment and fewer complications,deserves to be popularized in the clinical diagnosis and treatment of hemospermia.

关 键 词：血精症 精囊炎 输尿管镜检查术 

分 类 号：R697.42[医药卫生—泌尿科学]