经尿道射精管切开术治疗射精管梗阻性无精子症  

Transurethral resection of ejaculatory duct for azoospermia with ejaculatory duct obstruction(report of 16 cases)

作　　者：孙文功[1] 刘德海[1] 孟庆泽[1] 李鹏[1] 

机构地区：[1]解放军第153中心医院泌尿外科,河南郑州450007

出　　处：《现代泌尿外科杂志》2012年第6期581-583,共3页Journal of Modern Urology

摘　　要：目的探讨经尿道射精管切开治疗射精管梗阻的安全性及临床疗效。方法分析2008年1月2011年12月收治的16例射精管梗阻性无精子症患者的临床资料,常规精液分析、精浆果糖、中性a葡萄糖苷酶测定及经直肠超声予以诊断,必要时行精道造影检查确诊。16例均采用经尿道射精管切开术治疗,术后随访其疗效。结果 16例均顺利完成手术,术后随访36月,14例(87.5%)精液各项指标均有明显改善,5例(31.3%)配偶妊娠。结论经尿道射精管切开术是治疗射精管梗阻性无精子症的安全有效的方法,值得临床推广。Objective To investigate the diagnosis and surgical treatment of azoospermia with ejaculatory duct obstruction（EDO）.Methods The clinical data of 16 cases of azoospermia with EDO were retrospectively analyzed.The diagnostic methods included semen analyses,measurement of fructose and neutral a-glucosidase in the seminal plasma,transrectal ultrasonography（TRUS）,and vasography when necessary.All patients were treated with transurethral resection of ejaculatory duct（TURED） and followed up for 3~6 months.Results 14（87.5%） showed improved semen parameters and 5（31.3%） patients＇ wives were pregnant.Conclusion Transurethral resection of ejaculatory duct is effective for the treatment of azoospermia with EDO.

关 键 词：射精管梗阻 无精子症 经尿道射精管切开术 

分 类 号：R697[医药卫生—泌尿科学]