一次性使用输精管介入治疗包临床应用初步研究  

Clinical application of the disposable vasographic interventional therapy kit in vasoseminal vesiculography

作　　者：夏佳东[1] 李阳 韩友峰[2] 杨杰[1] 贾瑞鹏[3] 戴玉田[2] 商学军 王增军[1] XIA Jia-dong;LI Yang;HAN You-feng;YANG JieI;JIA Rui-peng;DAI Yu-tian;SHANG Xue-jun;WANG Zeng-jun(Department of Urology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, China;Department of Andrology, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu 210008, China;Department of Urology, Nanjing Hospital Affiliated to Nanjing Medical University, Nanjing, Jiangsu 210006, China;Department of Andrology, Jinling Hospital Affiliated to Nanjing University School of Medicine / Nanjing General Hospital of Nanjing Military Region, Nanjing, Jiangsu 210002, China)

机构地区：[1]南京医科大学第一附属医院泌尿外科,江苏南京210029 [2]南京医科大学鼓楼临床医学院男科,江苏南京210008 [3]南京医科大学附属南京医院泌尿外科,江苏南京210006 [4]南京大学医学院附属金陵医院/南京军区南京总医院男科,江苏南京210002

出　　处：《中华男科学杂志》2018年第2期122-127,共6页National Journal of Andrology

基　　金：国家自然科学基金(81501245)~~

摘　　要：目的:评估一种经皮穿刺输精管介入治疗包用于输精管造影的成功率以及安全性。方法:2016年10月至2017年4月采用开放、多中心、单组自身对照设计,纳入96例男性患者,年龄19~65岁,平均43岁,包括不育症、血精症、精囊囊肿、射精管囊肿、射精功能障碍、输精管损伤。患者均在局麻下应用穿刺包行输精管腔内注射造影剂并摄片。结果:完成试验的患者94例,造影成功者92例,成功率97.9%。造影结果显示,精道异常率为54.3%(51/94)。28例不育患者中,双侧输精管梗阻3例,单侧梗阻5例。44例血精患者中,36例(81.8%)为精囊炎。13例射精功能障碍患者中,5例(38.5%)双侧输精管发育异常。2例因行双侧腹股沟疝修补术致输精管损伤患者,精道造影均发现离断损伤至双侧输尿管。3例精囊囊肿和4例射精管囊肿通过输精管造影均明确诊断。结论:一次性使用输精管介入治疗包应用于输精管造影操作简单、安全性较高,值得推广应用。Objective ： To investigate the success rate and safety of percutaneous vasoseminal vesiculography with the disposable vasographic interventional therapy kit （ VITK）. Methods ： This study included ninety-six 19 - 65 （ mean 43 ） years old male patients with infertility, hematospermia, seminal vesicle cyst, ejaeulatory duct cyst, ejaculatory dysfunction, or vas deferens injury, with dis- ease courses varying from 1 month to 7 years. With an open, multi-centered, single-group, self-controlled design and using the dispos- able VITK, we treated the patients by percutaneous vasoseminal vesieulography via injection of contrast medium into the vas deferens cavity under local anesthesia. Results ： Percutaneous vasoseminal vesieulography was successfully performed in 92 （ 97.87% ） of the patients, which revealed abnormal seminal duets in 51 eases （54.3%）. Among the 28 infertile patients, 3 were found with bilateral and 5 with unilateral vas deferens obstruction. Vesieulitis was detected in 36 （81.8%） of the 44 hematospermia patients and bilateral

关 键 词：输精管介入治疗包 输精管造影 经皮穿刺 精道疾病 

分 类 号：R697.25[医药卫生—泌尿科学]