精囊镜技术在精囊疾病中的应用  

Transurethral seminal vesiculoscopy application in the diagnosis and treatment of the seminal vesicles disorders

作　　者：董秉政[1] 梁清[1] 郝林[1] 范涛[1] 张俊杰[1] 张文达[1] 陈波[1] 邱祥政[1] 周祥举[1] 韩从辉[1] 

机构地区：[1]东南大学医学院附属徐州医院,江苏徐州221009

出　　处：《中国内镜杂志》2012年第8期864-866,共3页China Journal of Endoscopy

摘　　要：目的探讨经尿道精囊镜技术在精囊疾病诊治中的应用。方法经尿道逆行插入输尿管镜,逆行进入射精管及精囊,对61例精囊疾病的患者进行检查和治疗。结果该组61例患者有58例成功进入精囊,手术时间25～85min,平均35.6min。7例射精管口囊肿,14例发现有淤血块,9例精囊结石,行相应处理。术后随访至少3个月,2例患者诉会阴部不适,对症处理后,症状缓解;1例精囊炎复发,再次治疗后好转。4例因不育患者,术后3个月复查精液分析,显示精液量明显增加,精子数量及活力明显改善,其中2例术后7～18个月自然怀孕。结论精囊镜经正常的解剖学途径,直接观察射精管及精囊内部,对疾病明确诊断的同时,还能进行治疗,且操作简单、并发症少、术后恢复快,有较好的临床应用价值。[Objective] To develop a transurethral endoscopy technique of the transurethral seminal vesiculoscopy to examine and treat the seminal vesicles disorder.[Methods] Totally 61cases of patients with seminal vesicles disorder were diagnosed and treated with the transurethral seminal vesiculoscopy through the distal seminal tracts and seminal vesicles.[Results] 58 cases were successfully entered the seminal vesicles,operating time 25~85 min,average 35.6 min.In this group,7 cases were diagnosed as ejaculation pipe cyst,hemorrhage was found in the seminal vesicles in 14 patients,calculi were present in the seminal vesicles in 9 patients.All the disorders were treated properly.Following up at least 3 months,2 cases had post-operative discomfort in perineal region,but all of them resolved with conservative treatment.1 case had recurrence with seminal vesiculitis,improved with treatment once again.4 cases of infertility patients had significantly increased of sperm count and ejaculate volume,2 cases got pregnant naturally after operated 7 to 18 months.[Conclusions] This approach enables a new endoscopic technique with the transurethral seminal vesiculoscopy to diagnose and treat the seminal vesicles disorders through the normal anatomic pathway,and it can be easily performed with few post-operative complications.

关 键 词：经尿道 精囊镜 精囊疾病 

分 类 号：R697[医药卫生—泌尿科学]