小儿输尿管镜在精囊镜检查中的应用

IF 1.3 Q3 SURGERY
Shulin Guo, Donghua Xie, Xiangfei He, Chuance Du, Lunfeng Zhu, Xiaolin Deng, Zhongsheng Yang
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引用次数: 8

摘要

为了描述一种经尿道精囊镜下儿童输尿管镜诊断和治疗持续性血精的新技术,我们对2009年8月至2013年9月期间20例复发性血精患者进行回顾性研究,这些患者使用6-7.5F (6F前端和7.5F后端)儿童输尿管镜进行评估和治疗。20例患者年龄25 ~ 48岁,平均36岁。血精症的持续时间为6至48个月,平均持续时间为18个月。经尿道精囊镜检查成功20例,平均手术时间35 min (25 ~ 90 min)。20例患者中发现精囊炎11例,精囊结石5例,前列腺小囊结石1例,前列腺囊肿1例,射精管梗阻1例。平均随访7个月(6 ~ 12个月不等)。19例术后血精消失,仅1例术后6个月血精复发。治愈率为95%。本研究提示,采用半刚性小儿输尿管镜进行经尿道精囊镜检查容易,并发症少,是治疗顽固性血精的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Application of Pediatric Ureteroscope for Seminal Vesiculoscopy
To describe a novel technique of transurethral seminal vesiculoscopy using a pediatric ureteroscope in the diagnosis and management of persistent hematospermia, a retrospective study was carried out for 20 patients with recurrent hematospermia whom we evaluated and treated using a 6–7.5F (6F front end and 7.5F rear end) pediatric ureteroscope from August 2009 to September 2013. For the 20 patients, the age ranges from 25 to 48 years with a mean age of 36 years. The duration of the hematospermia ranges from 6 to 48 months with a mean duration of 18 months. Transurethral seminal vesiculoscopy was successfully performed in the 20 cases and the mean operative time was 35 min (ranges from 25 to 90 min). Among the 20 patients, 11 patients were found to have seminal vesiculitis, five were with seminal vesicle stone, one was with prostatic utricle stone, one was with prostate cyst, and one was with ejaculatory duct obstruction. The mean follow-up period was 7 months (ranged from 6 to 12 months). Hematospermia in 19 cases disappeared after the surgery and only in one patient the hematospermia recurred 6 months after the surgery. The cure rate was 95%. This study indicated that transurethral seminal vesiculoscopy could be performed easily using a semirigid pediatric ureteroscope with few complications and is an effective therapeutic approach for persistent hematospermia.
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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
8
审稿时长
16 weeks
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