经尿道精囊镜第4代气压弹道联合超声吸附碎石系统治疗精囊结石  

Transurethral seminal vesiculoscopy combine with the 4th EMS for the treatment of seminal stones

作　　者：胡国栋[1] 王秀[2] 王平[3] 柳青[1] 张屹[1] 宋文君[1] 梁栋[1] 陈宏宇[1] 韩毅[1] 

机构地区：[1]沈阳市红十字会医院泌尿外科,沈阳市结石病诊断治疗中心,沈阳110013 [2]中国医科大学附属第四医院麻醉科,沈阳110032 [3]中国医科大学附属第四医院泌尿外科,沈阳110032

出　　处：《中华腔镜泌尿外科杂志（电子版）》2012年第3期50-52,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的评价第4代气压弹道联合超声吸附碎石系统(EMS)治疗精囊结石的临床效果。方法 15例精囊结石患者,14例单侧,1例双侧。15例均伴有会阴部不适,4例伴有前列腺炎,8例伴有血精。术前通过直肠超声和精囊CT诊断。利用气压弹道和/或超声碎石。结果手术时间15～40min,住院时间3～12d。术后随访6～12个月,血精全部消失,13例会阴部不适缓解,前列腺炎4例治愈,1例术后3d出现双侧附睾睾丸炎,给予抗炎对症治疗。结论 EMS治疗精囊结石具有微创,安全,高效,治疗效果确切等优点,无直肠损伤等并发症,具有一定的临床价值。Objective To evaluate the clinic effects of transurethral seminal vesiculoscopy and 4th EMS in the treatment of seminal stones. Method Fifteen patients with seminal stones were enrolled into this study, of which 14 cases were unilateral and 1 case was bilateral. All patients accompanied with per- ineal region discomfortableness; 4 cases suffered from prostatitis and 8 cases suffered from hematospermia; perioperative diagnosis was made by transrectal ultrasound and CT. Pneumatic lithotripsy or 4th EMS lithotripsy were chosen as therapeutic methods. Result The operation time was 15-40 min and inpatient time was 3-12 d. During the follow-up period of 6-12 weeks, all hematospermia symptom and prostatitis were cured, perineal region complaint released in 13 cases; testitis and epididymitis appeared in one ease after 3 days postoperation, and released by anti-inflammatory treatment. Conclusions Transurethral semi- nal vesiculoseopy combine with 4th EMS for the treatment of seminal stones is minimally invasive, safety and efficient. It can get good treatment effects and avoid rectal injury, and is of valuable in clinic practice.

关 键 词：EMS 精囊结石 精囊镜 血精 

分 类 号：R699[医药卫生—泌尿科学]