精囊精道解剖学特点及在临床内镜手术中的指导意义  

Anatomic characterization of the seminal vesicle and its guiding significance in seminal vesiculoscopy

作　　者：朱广远 张治国[2] 张文达[2] 宁松毅 欧阳长杰 曲德伟 臧光辉[2] 董洋[2] 郝林[2] 刘大闯[2] 周家合[2] 董秉政[2] 贺厚光[2] 梁清[2] 周祥举[2] 范涛[2] 陈波[2] 张俊杰[2] 赵岩[2] 王德广 韩从辉 ZHU Guang-yuan;ZHANG Zhi-guo;ZHANG Wen-da;NING Song-yi;OUYANG Chang-jie;Qu De-wei;ZANG Guang-hui;DONG Yang;HAO Lin;LIU Da-chuang;ZHOU Jia-he;DONG Bing-zheng;HE Hou-guang;LIANG Qing;ZHOU Xiang-ju;FAN Tao;CHEN Bo;ZHANG Jun-jie;ZHAO Yan;WANG De-guang;HAN Cong-hui(School of Clinical Medicine,Xuzhou Medical University,Xuzhou,Jiangsu 221000,China;Department of Urology,Xuzhou Central Hospital,Xuzhou,Jiangsu 221009,China;Training Center of Clinical Skills,Medical College of Jiangsu University,Zhenjiang,Jiangsu 212013,China;Department of Anatomy,Xuzhou Medical University.Xuzhou.Jiangsu 221000.China)

机构地区：[1]徐州医科大学临床学院,江苏徐州221000 [2]徐州市中心医院泌尿外科,江苏徐州221009 [3]江苏大学医学院临床技能培训中心,江苏镇江212013 [4]徐州医科大学解剖教研室,江苏徐州221000

出　　处：《中华男科学杂志》2018年第9期802-806,共5页National Journal of Andrology

基　　金：江苏省重点研发项目(BE2016641);徐州市医学创新(科技攻关)团队(XWCX201603)

摘　　要：目的:通过研究精囊精道解剖学,掌握局部解剖结构,指导临床精道内镜手术。方法:收集并分析临床48例精囊镜手术资料,统计进入精囊路径方式及术后临床效果;同时选取12具成人骨盆段标本进行精囊精道局部解剖研究,并模拟手术路径。结果:解剖结果与临床术中所见相互印证,52. 1%(25/48)临床病例射精管开口无法探及,但93. 8%(45/48)临床病例可经不同途径进入精囊完成手术。结论:经尿道微创精道内镜技术治疗精道、精囊疾病是完全可行的,但仍有局限性,需要结合其他治疗才能取得更好的治疗效果。Objective： To gain a deeper insight into the local anatomic structures of the seminal vesicle and ejaculatory duct and provide some anatomic guidance in seminal vesiculoseopy. Methods： We analyzed the clinical data on 48 cases of seminal vesiculoscopy and recorded the surgical approaches to the seminal vesicle and clinical effects after operation. At the same time, we made an anatomic study of the seminal vesicle, ejaculatory duct and prostatic utricle and simulated the surgical approaches in 12 adult pelvis specimens. Results： The anatomical results accorded well with the surgical findings. The ejaculatory ducts failed to be re-vealed for 52.1% （25/48）, but 93.8% （45/48） of the operations were completed through different approaches into the seminal vesi-cle. Conclusion ： Transurethral seminal vesiculoscopy can be applied in the treatment of seminal tract and seminal vesicle diseases,but has its obvious limitations and has to be used with other strategies to achieve better results.

关 键 词：射精管 精囊 前列腺小囊 内镜 解剖 

分 类 号：R697.4[医药卫生—泌尿科学]