经尿道输尿管镜精囊置管反复冲洗治疗血精43例临床疗效  

Observation of Curative Effect on 43 Patients with Hematospermia through Washing of Ureteroscope Cathetering via Urethra

作　　者：唐文广 李思熳[2] 陈永生 彭明栋 王诚 鞠海宇 

机构地区：[1]云南九洲医院泌尿外科,云南曲靖655000 [2]昆明医科大学生物化学与分子生物学系,云南昆明650500

出　　处：《昆明医科大学学报》2015年第5期49-51,共3页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81160302);云南省自然科学基金资助项目(2011FZ109);云南省教育厅科学研究基金资助项目(2014Y153)

摘　　要：目的探讨经尿道输尿管镜精囊置管反复冲洗治疗血精的疗效和安全性.方法通过输尿管镜下经尿道逆行插管,C型臂X线下精囊造影,精囊腺留置导管冲洗引流.结果 43名由精囊腺炎引起反复肉眼血精患者的症状均有不同程度的改善,无严重并发症如直肠损伤、尿道损伤、感染加重等发生.其中7例复发,经2次手术后治愈.全部病例随访6～65个月,无直肠、尿道损伤及感染加重等并发症出现.结论采用输尿管镜逆行精囊腺留置导管后精囊内反冲洗治疗血精具有并发症较少、疗效确切,术后复发率低的优点.Objective To investigate the curative effect and safety of the treatment on hematospermia through washing of ureteroscope cathetering via urethra. Methods 43 patients were treated with retrograde intubation via urethra under ureteroscope, seminal vesiculography under X ray of C-type arm, and washing and drainage of seminal vesicle indwelling catheter. Results The symptoms of 43 patients with repeated macroscopic hematospermia caused by seminal vesiculitis were improved in different degrees. Besides, there was no serious complication, such as rectal injury, urethral injury, severe infection, etc. Among them, 7 patients suffered relapse and were cured after secondary operation. The follow-up visit had been done in all cases for 6 to 65 months, and no complication occurred. Conclusion It is safe and effective to cure the hematospermia through the washing and drainage via retrograde intubation under ureteroscope.

关 键 词：血精 输尿管镜 冲洗 治疗 

分 类 号：R697.4[医药卫生—泌尿科学]