精囊镜微创技术在精囊炎治疗中的应用效果及安全性研究  

Efficacy and safety of minimally invasive technique of seminal vesiculoscopy for seminal vesiculitis

作　　者：王永富[1] 唐华[1] 陈剑[1] 俞婷[1] 郭昌平[1] 叶德川 WANG Yongfu;TANG Hua;CHEN Jian;YU Ting;GUO Changping;YE Dechuan(Department of Urology,the Second Hospital of Sanming City(Fifth Affiliated Hospital of Fujian University of Traditional Chinese Medicine),Sanming 366000,Fujian,China)

机构地区：[1]福建省三明市第二医院(福建中医药大学附属第五医院)泌尿外科,福建三明366000

出　　处：《中国性科学》2021年第6期29-32,共4页Chinese Journal of Human Sexuality

摘　　要：目的分析精囊镜微创技术在精囊炎治疗中的应用效果及安全性。方法选取2017年10月至2019年6月福建省三明市第二医院泌尿外科收治的81例精囊炎患者作为研究对象,采用药物治疗的患者纳入药物组(n=42),采用精囊镜技术治疗的患者纳入精囊镜组(n=39)。分析精囊镜组手术情况,比较两组的疗效、血精症状改善情况、性功能减退改善情况和不良事件发生情况。结果精囊镜组中,32例炎性改变,2例精囊囊肿,10例结石,进镜方式以射精管自然开口为主(71.79%)。药物组治疗总有效率明显低于精囊镜组(P<0.05)。药物组血精症状改善率和性功能减退改善率明显低于精囊镜组(P<0.05)。随访中药物组未见明显不良反应;精囊镜组19例(48.72%)术后发生轻度血尿,8例(20.51%)会阴处不适,1例(2.56%)发热。结论精囊镜微创技术治疗精囊炎,有助于病因明确,疗效可靠,安全性高。Objective To study the efficacy and safety of minimally invasive technique of seminal vesiculoscopy for seminal vesiculitis. Methods 81 patients with seminal vesiculitis treated in the Department of Urology, the Second Hospital of Sanming City in Fujian Province from October 2017 to June 2019 were selected as the research subjects. Patients treated with drug therapy were included in the drug group(n=42), and patients treated with seminal vesiculoscopy were included in the seminal vesicles group(n=39). The operative conditions of seminal vesiculoscope group were analyzed, and the efficacy, improvement of hemospermia, improvement of sexual dysfunction and occurrence of adverse events were compared between the two groups. Results In the seminal vesicles group, 32 cases of seminal vesicles showed inflammatory changes under microscope, 2 cases of seminal vesicle cyst, 10 cases of calculus. The main way of entering the lens was the natural opening of the ejaculatory duct(71.79%). The treatment efficiency of the drug group was significantly lower than that of the seminal vesicle group(P<0.05). The improvement rate of blood sperm symptom and sexual dysfunction in the drug group was significantly lower than that in the seminal vesicles group(P<0.05). During the follow-up, there were no obvious adverse reactions in the drug group. In the seminal vesicles group, 19 cases(48.72%) had mild hematuria postoperatively, 8 cases(20.51%) had perineal discomfort postoperatively, and 1 case(2.56%) had fever. Conclusions Minimally invasive seminal vesicle technique in the treatment of seminal vesiculitis is helpful to clear the etiology, has reliable efficacy and high safety.

关 键 词：精囊镜 精囊炎 血精 疗效 安全性 

分 类 号：R691[医药卫生—泌尿科学]