前列腺囊肿诊治分析  

Diagnosis and treatment of prostatic cyst

作　　者：程汉波 郝磊 袁慧星 陈忠[3] CHENG Han-bo;HAO Lei;YUAN Hui-xing;CHEN Zhong(Department of Urology,People's Hospital of Dongxihu District Wuhan City,Wuhan 430040,China)

机构地区：[1]武汉东西湖人民医院泌尿外科,430040 [2]湖北省蕲春县人民医院泌尿外科 [3]华中科技大学同济医学院附属同济医院泌尿外科

出　　处：《现代泌尿生殖肿瘤杂志》2018年第1期36-38,共3页Journal of Contemporary Urologic and Reproductive Oncology

摘　　要：目的探讨前列腺囊肿的诊断及治疗方案的选择。方法分析1例经B超和MRI检查诊断为前列腺囊肿引起下尿路梗阻症状,行经尿道前列腺囊肿等离子汽化电切术患者的临床资料,并结合文献复习分析前列腺囊肿的临床诊治特点。结果患者手术效果满意,手术时间为20min,术中出血约30ml,术后留置尿管5d。术后随访2个月,患者无排尿困难,膀胱未见残余尿,阴茎勃起与射精功能正常。结论 B超、MRI是诊断前列腺囊肿的重要方法,对于有下尿路梗阻症状的患者可行尿流动力学及膀胱镜检查以进一步诊断,经尿道前列腺囊肿等离子汽化电切术治疗下尿路梗阻症状的前列腺囊肿安全、有效。Objective To discuss diagnosis and treatments of prostatic cysts. Methods We diagnosed a patient with lower urinary tract obstruction associated with prostatic cyst by B-ultrasonography and MRI,then the patient was treated with transurethral plasmakinetic vaporization resection. Results The operation lasted 20 minutes and the amount of intraoperative blood loss was 30 ml.After surgery,the urinary catheter was indwelt for 5 days.During the follow-up period of 2 months,the patient experienced smooth urination,no dysuria or residual urine was found.Moreover,the patient's erectile function and ejaculatory function were also normal. Conclusions B-ultrasonography and MRI are important methods for the diagnosis of prostatic cysts.For patients with lower urinary tract obstruction,urodynamic and cystoscopy can help with further diagnosis,and the transurethral plasmakinetic vaporization resection is an effective and safe method.

关 键 词：前列腺囊肿 诊断 治疗 等离子汽化电切 

分 类 号：R699.8[医药卫生—泌尿科学]