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目的:探讨前列腺囊肿的临床特征、诊断与微创治疗方法的选择。方法:回顾性分析7例前列腺囊肿患者的临床资料:3例因排尿不畅、尿线变细及排尿费力等就诊,3例以尿频、尿急及会阴部不适等类似前列腺炎症状就诊,1例因血精就诊。均经B超、MRI检查,对3例靠近前列腺尿道的较小囊肿行经尿道前列腺囊肿去顶术,对4例向尿道及膀胱顶后方突起的较大囊肿行腹腔镜下囊肿切除术。结果:7例患者均经B超、MRI联合确诊。经尿道手术时间30～40 min,出血20～50 ml;腹腔镜手术时间100～160 min,出血30～80 ml。术后引流2～3天,留置导尿管1～2周。所有患者术后随访1个月～2年,无尿路刺激症状,无排尿困难,阴茎勃起及射精功能正常。结论:经直肠B超和MRI是诊断前列腺囊肿的重要方法。对于靠近前列腺尿道的有症状的囊肿,经尿道前列腺囊肿去顶术疗效确切;当囊肿靠近尿道及膀胱顶的后方时,腹腔镜切除囊肿具有组织显露清楚、不易损伤盆腔组织、创伤小、出血少等优点,是治疗此类前列腺囊肿的最佳选择。
Objective: To explore the clinical features of prostate cysts, diagnosis and minimally invasive treatment options. Methods: The clinical data of 7 patients with prostatic cyst were analyzed retrospectively: 3 patients were diagnosed due to poor urination, thinning of the urinary tract and laborious urination. 3 patients were treated with symptoms of prostatitis such as urinary frequency, urinary urgency and perineal discomfort, 1 Cases due to blood serum treatment. All the patients underwent transurethral resection of the prostate cyst with three cysts near the prostatic urethra undergoing B ultrasound and MRI examinations. Laparoscopic cyst excision was performed on four large cysts that protruded toward the posterior urethra and posterior of the bladder. Results: All the 7 patients were confirmed by B ultrasound and MRI. Transurethral operation time 30 ~ 40 min, bleeding 20 ~ 50 ml; laparoscopic surgery time 100 ~ 160 min, bleeding 30 ~ 80 ml. Postoperative drainage 2 to 3 days, catheter indwelling 1 to 2 weeks. All patients were followed up for 1 month to 2 years, no urinary tract irritation, no dysuria, penile erection and ejaculation function. Conclusion: Transrectal B-mode ultrasonography and MRI are important methods for the diagnosis of prostatic cysts. For the symptomatic cysts close to the prostatic urethra, transurethral resection of the prostate cyst is the exact effect; when the cyst near the urethra and the top of the bladder when the laparoscopic resection of the cyst with tissue revealed clearly, not easy to damage the pelvic tissue, trauma, less bleeding Etc., is the best choice for the treatment of such prostate cysts.