射精管梗阻的临床诊疗现状与进展
发布时间：2018-08-15 13:27
【摘要】：射精管梗阻(EDO)是梗阻性因素引发男性不育的原因之一,也是可经外科手术治愈的男性不育症之一,在所有男性不育症中占1%~5%。相比后天性因素先天性发育异常是EDO发病最常见的原因。EDO临床表现多样,典型的精液呈现"四低"特征,经直肠超声是EDO筛查的重要影像学检查和手术治疗中的引导,磁共振检查提供生殖系统更清晰的影像依据。经尿道射精管切除术(TURED)为代表的经尿道微创手术是治疗EDO的经典术式,而各式经尿道精道镜技术的应用成为治疗EDO的趋势,最新出现的精囊输精管软镜或输精管镜技术有望进一步改进EDO的诊治。
[Abstract]:Ejaculatory duct obstruction (EDO) is one of the causes of male infertility caused by obstructive factors. It is also one of the male infertility that can be cured by surgery. It accounts for 1 / 5 of all male infertility. Compared with acquired factors, congenital dysplasia is the most common cause of EDO. EDO is the most common cause of EDO. The typical semen shows "four low" characteristics. Transrectal ultrasound is an important imaging examination of EDO screening and guidance in surgical treatment. Magnetic resonance imaging provides a clearer imaging basis for the reproductive system. Transurethral minimally invasive surgery, represented by transurethral ejaculatory duct resection (TURED), is the classic procedure for the treatment of EDO, and the application of various transurethral endoscopy techniques has become the trend in the treatment of EDO. The newly developed soft or vas deferens techniques are expected to further improve the diagnosis and treatment of EDO.
【作者单位】： 上海交通大学附属第一人民医院泌尿外科中心男科/盆底尿失禁外科辅助生殖医学科 上海交通大学泌尿外科研究所男性健康评估中心上海市生殖医学重点实验室;
【基金】：国家自然基金重点课题(31230048/C120101) 国家科技部重点课题(2013FY110500) 上海市新兴前沿技术(SHDC12015122) 上海市适宜技术(SHDC12014236)资助~~
【分类号】：R698.2
[Abstract]:Ejaculatory duct obstruction (EDO) is one of the causes of male infertility caused by obstructive factors. It is also one of the male infertility that can be cured by surgery. It accounts for 1 / 5 of all male infertility. Compared with acquired factors, congenital dysplasia is the most common cause of EDO. EDO is the most common cause of EDO. The typical semen shows "four low" characteristics. Transrectal ultrasound is an important imaging examination of EDO screening and guidance in surgical treatment. Magnetic resonance imaging provides a clearer imaging basis for the reproductive system. Transurethral minimally invasive surgery, represented by transurethral ejaculatory duct resection (TURED), is the classic procedure for the treatment of EDO, and the application of various transurethral endoscopy techniques has become the trend in the treatment of EDO. The newly developed soft or vas deferens techniques are expected to further improve the diagnosis and treatment of EDO.
【作者单位】： 上海交通大学附属第一人民医院泌尿外科中心男科/盆底尿失禁外科辅助生殖医学科 上海交通大学泌尿外科研究所男性健康评估中心上海市生殖医学重点实验室;
【基金】：国家自然基金重点课题(31230048/C120101) 国家科技部重点课题(2013FY110500) 上海市新兴前沿技术(SHDC12015122) 上海市适宜技术(SHDC12014236)资助~~
【分类号】：R698.2
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相关期刊论文 前6条
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