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目的探讨经尿道精囊镜技术在精囊疾病诊治中的应用。方法经尿道逆行插入输尿管镜,逆行进入射精管及精囊,对61例精囊疾病的患者进行检查和治疗。结果该组61例患者有58例成功进入精囊,手术时间25～85min,平均35.6min。7例射精管口囊肿,14例发现有淤血块,9例精囊结石,行相应处理。术后随访至少3个月,2例患者诉会阴部不适,对症处理后,症状缓解;1例精囊炎复发,再次治疗后好转。4例因不育患者,术后3个月复查精液分析,显示精液量明显增加,精子数量及活力明显改善,其中2例术后7～18个月自然怀孕。结论精囊镜经正常的解剖学途径,直接观察射精管及精囊内部,对疾病明确诊断的同时,还能进行治疗,且操作简单、并发症少、术后恢复快,有较好的临床应用价值。
Objective To investigate the application of transurethral seminal vesicle mirror technique in diagnosis and treatment of seminal vesicle disease. Methods Transurethral ureteroscopic retrograde ureteroscopy retrograde into the ejaculatory duct and seminal vesicle, 61 cases of seminal vesicle disease were examined and treated. Results In the group of 61 patients, 58 patients successfully entered the seminal vesicle. The operation time ranged from 25 to 85 minutes with an average of 35.6 minutes. 7 cases of eustachian cyst, found in 14 cases of congestion block, 9 cases of seminal vesicle stones, line the corresponding treatment. The patients were followed up for at least 3 months. Two patients complained of perineal discomfort. After symptomatic treatment, the symptoms were relieved. One patient with vesiculitis recurred and recovered again after treatment. 4 cases of infertility patients, 3 months after the review of semen analysis, showed a significant increase in sperm volume, sperm count and vitality significantly improved, of which 2 cases of postoperative 7 to 18 months of natural pregnancy. Conclusion Seminal vesicles through the normal anatomy, direct observation of the ejaculatory duct and seminal vesicle, clear diagnosis of the disease at the same time, but also for treatment, and simple operation, fewer complications, postoperative recovery, and has good clinical value .