精囊镜诊治与药物治疗慢性精囊炎的临床对照研究  

Efficacy of seminal vesiculoscopy and drugs for chronic seminal vesiculitis:aprospective randomized clinical trial

作　　者：李少鹏[1] 蔡建通 许志鹏[1] 林宗棋 张一骅 蔡晓东[1] 游志远[1] 

机构地区：[1]石狮市医院外科,福建石狮362700

出　　处：《现代泌尿外科杂志》2015年第2期93-95,共3页Journal of Modern Urology

基　　金：石狮市科技计划项目(No.2012sk07)

摘　　要：目的评价经尿道输尿管镜下精囊镜检查及治疗在慢性精囊炎诊断及治疗中的作用。方法 2010年1月-2013年9月间收治的32例慢性精囊炎患者,随机分为2组,分别接受口服药物治疗（左氧氟沙星＋宁泌泰,n=18）和经尿道精囊镜检（手术组,n=14）。治疗后随访6个月,比较2组的治疗效果。结果手术组14例患者均顺利完成手术。手术时间20-60min,平均（35.0±14.8）min。随访6个月后疗效比较,手术组14例术后血精均消失,其中有2例术后6个月再发血精,总有效率明显高于药物组（85.7%vs.55.6%,P〈0.05）。结论经尿道输尿管镜下精囊镜检查直视下能观察精囊腔内情况,并针对病因进行治疗,并发症少,是治疗慢性精囊炎的有效方法。Objective To evaluate the efficacy of transurethral ureteroscopic and seminal vesiculoscopy in the diagnosis and treatment of chronic seminal vesiculitis.Methods During Jan.2010 and Sept.2013,a total of 32 patients with chronic seminal vesiculitis were randomized to receive levofloxacin and Ningmitai Capsule（drug group,n=18）,and seminal vesiculoscopy（operation group,n=14）.During the follow-up of 6 months,the therapeutic outcomes of the two groups were compared.Results In the operation group,the mean operation time was（35.0±14.8）min（20-60 min）.Hemospermia disappeared in all patients after operation but relapsed in2 patients during the 6-month follow-up.The total effective rate in the operation group was significantly higher than that of the drug group（85.7% vs.55.6%,P0.05）.Conclusion Transurethral ureteroscopic and seminal vesiculoscopy is effective for the treatment of chronic vesiculitis with few complications.

关 键 词：精囊镜检查 慢性精囊炎 手术 药物治疗 

分 类 号：R698.2[医药卫生—泌尿科学]