| 摘要: |
| 目的:探讨精囊镜治疗精囊结石内镜手术治疗方法,评价其有效性。方法:18例精囊结石患者,年龄26～58岁,平均(41.5±5.3)岁,平均病程(6.6±3.6)个月,15例顽固性血精、3例会阴部不适、2例射精疼痛,术前经B超、X线片或CT诊断为精囊结石,单侧16例,双侧2例,17例利用精囊镜通过射精管开口进入精囊行精囊结石取石,1例结石较大行钬激光碎石术。结果:平均手术时间(35.6±13.4) min,平均住院时间(4.1±1.5) d,平均随访(6.4±3.1)个月。15例（15/15）血精完全消失,2例(2/2)射精疼痛消失,2例(2/3)会阴部不适明显缓解,1例(1/18)于术后1周出现右侧附睾炎,经抗炎治疗5 d后缓解。结论:利用精囊镜的腔内技术治疗具有创伤小、效果好、并发症少等优点,是治疗精囊结石的有效方法。 |
| 关键词: 精囊 结石 输尿管镜 治疗 |
| DOI：10.3724/SP.J.1008.2009.01297 |
| 投稿时间：2009-05-20修订日期：2009-08-04 |
| 基金项目: |
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| Transurethral endoscopic approach for seminal vesicle stone removal |
| CHEN Jie,GAO Yi,XU Dan-feng*,REN Ji-zhong,YAO Ya-cheng,CUI Xin-gang,CHE Jian-ping |
| (Department of Urology,Changzheng Hospital,Second Military Medical University,Shanghai 200003,China) |
| Abstract: |
| Objective:To study the transurethral endoscopic approach for removal of seminal vesical stone and to evaluate its efficacy.Methods: The diagnosis of 18 patients with seminal vesicle stones were confirmed by ultrasonography,X-ray or computerized tomography before operation.The patients,with a mean age of (41.5±5.3) years old and a mean disease course of (6.6±3.6) months,included 15 with intractable hemospermia,3 with perineal discomfort and 2 with painful ejaculation.Seminal vesical stones were found unilaterally in 16 cases and bilaterally in 2 cases.We passed a 6/7.5F rigid urethroscope through the utricular opening into the seminal vesicle,and all the stones in 17 patients were endoscopically removed using a grasper; one patient was treated by holmium-laser due to the large size of the stones.Results: The mean operation period was （35.6±13.4）min and the mean hospital stay was (4.1±1.5) days.The mean follow-up period was (6.4±3.1) months.Hematospermia disappeared in 15 (15/15) cases after treatment; painful ejaculation disappeared in 2(2/2) cases and perineal discomfort was improved in 2(2/3) cases.One patient had epididymitis a week after the operation and the symptoms were relieved after 5-day-antibiotic therapy.Conclusion: Transurethral endoscopic approach for treatment of seminal vesicle stone has a better outcome,less trauma and few complications; it is an effective method for seminal vesicle stone removal. |
| Key words: seminal vesicle calculus urethroscope therapeutics |
