精囊镜治疗以血精为表现的精囊炎64例报告

发布时间：2018-03-01 17:10

本文关键词： 血精精囊炎精囊镜引流术　出处：《中华男科学杂志》2016年04期 　论文类型：期刊论文

【摘要】：目的:探讨采用精囊镜治疗以血精为表现的精囊炎的方法。方法:2012年4月至2014年12月,64例精囊炎患者均行精囊镜治疗,术中抽取精囊液行细菌和UU、CT、Mh培养,并清除精囊结石、炎症物质,精囊内保留灌注左旋氧氟沙星注射液0.3 g/100 ml。术后定期复查。结果:64例患者顺利完成手术,手术时间25~50(40±15)min。术中于后尿道精阜表面寻及射精管开口者2例,前列腺小囊内见异常通道者8例,经前列腺小囊内破窗者54例,其中32例采用精囊镜直接破壁,22例采用钬激光前列腺小囊内破壁。术中发现前列腺小囊内结石5例,精囊结石6例,精囊与精阜小囊均有结石者2例,精囊液细菌培养阳性1例,为洛菲不动杆菌,UU、CT、Mh均为阴性。术后个3个月血精完全消失52例,血精变淡者8例,血精无变化者4例。结论:精囊镜经前列腺小囊内开窗引流术手术时间短,疗效确切,且能对精囊进行检查、清除结石和炎症物质,无明显并发症,值得临床推广。
[Abstract]:Objective: to explore the treatment of seminal vesiculitis with seminal vesicle by seminal vesicle. Methods: from April 2012 to December 2014, 64 cases of seminal vesiculitis were treated with seminal vesicle. Inflammatory substances were preserved and perfused into the seminal vesicle with levofloxacin injection 0.3 g / 100 ml. The results showed that 64 cases of levoofloxacin were successfully operated after operation, the operative time was 2550 ~ 40 卤15 min. 2 cases were located and ejaculatory duct orifice on the surface of posterior urethral sputum during the operation. Abnormal channels were found in 8 cases of prostatic microsac, 54 cases were broken through prostatic microsac window, 32 cases were directly broken wall by seminal vesicle in 22 cases, 5 cases were found intravesicular stones in prostatic microsac during operation, 22 cases were directly broken by seminal vesicle, 22 cases were treated with holmium laser. Seminal vesicle calculi were found in 6 cases, seminal vesicle and caruncle vesicle in 2 cases, seminal vesicle fluid culture positive in 1 case, acinetobacter UUU CTMh negative, blood spermatozoa disappeared completely in 52 cases 3 months after operation, blood essence became light in 8 cases. Conclusion: the operation time of seminal vesicle is short, the curative effect is accurate, the seminal vesicle can be checked, the stone and inflammatory substance can be cleared, and there is no obvious complication, so it is worth popularizing clinically.
【作者单位】：郑州大学第一附属医院泌尿外科河南省高等学校临床医学重点学科开放实验室;
【分类号】：R699.8

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