Effect evaluation in dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy in the treatment for ejaculatory duct cyst
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摘要: 目的 探讨经尿道囊肿电切术联合精囊镜下射精管扩张术治疗射精管囊肿的疗效。 方法 选取2014年10月—2019年6月16例因射精管囊肿梗阻导致的少精症或无精症患者,均给予经尿道电切联合经尿道精囊镜下射精管扩张术治疗。 结果 16例患者术前精液量0.6~1.8 mL, 精浆果糖明显降低,其中12例为无精症, 4例为弱精症。所有患者均完成手术,术后随访至少6个月。术后1年有5例患者精囊腺显著缩小,其中4例患者配偶术后9~12个月成功妊娠。患者术后精液量较术前显著增多(P<0.05),术后精浆果糖水平显著高于术前(P<0.05)。 结论 经尿道囊肿电切术联合精囊镜下射精管扩张术治疗射精管囊肿安全、有效。Abstract: Objective To explore the efficacy of dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy in the treatment for ejaculatory duct cyst. Methods From October 2014 to June 2019, 16 cases with oligospermia or azoospermia caused by obstruction of ejaculatory duct cyst were selected and treated with dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy. Results The semen volume of 16 patients was 0.6 to 1.8 mL before operation, and the fructose of seminal plasma significantly reduced. Among them, 12 cases were azoospermia, and 4 cases were asthenospermia. All patients finished operation successfully and were followed up for at least 6 months. The seminal vesicle glands of 5 patients significantly reduced one year after the operation, and spouses of 4 patients were pregnant successfully at 9 to 12 months after the operation. The amount of semen after operation was significantly higher than that before operation(P<0.05), and the level of fructose in seminal plasma after operation was significantly higher than that before operation(P<0.05). Conclusion Dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy is effective and safe in the treatment for ejaculatory duct cyst.
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陈在贤. 实用男科学[M]. 2 版. 北京: 人民军医出版, 2013: 572-578. 戴宇平. 2010 最新泌尿外科疾病临床诊断与治疗方案[M]. 北京: 人民卫生出版, 2010: 388-402. Yagci C, Kupeli S, Tok C, et al. Efficacy of transrectal ultrasonography in the evaluation of hematospermia[J]. Clin Imaging, 2004, 28(4): 286-290.
高兴成, 黄伟佳, 钟剑锋, 等. 经尿道射精管口电切术治疗射精管梗阻性无精子症[J]. 中国现代医学杂志, 2006, 16(14): 2193-2194. 贾文秀, 朱强, 冀鸿涛, 等. 苗勒氏管囊肿与射精管囊肿经直肠超声检查的表现及鉴别诊断[J]. 中国超声医学杂志, 2008, 24(4): 346-349. 俞建军, 徐月敏, 张炯, 等. 精囊扩张的病因及处理[J]. 中华男科学杂志, 2008, 14(3): 231-233. 邓春华, 丘少鹏, 孙祥宙, 等. 经尿道射精管口电切术治疗射精管梗阻性无精子症[J]. 中华外科杂志, 2005, 43(22): 1464-1466. 涂响安, 赵良运, 邓立文, 等. 梗阻性无精子症的外科治疗(附56例报告)[J]. 中华男科学杂志, 2010, 16(1): 48-51. Turek P J, Magana J O, Lipshultz L I. Semen parameters before and after transurethral surgery for ejaculatory duct obstruction[J]. J Urol, 1996, 155(4): 1291-1293.
Han W K, Lee S R, Rha K H, et al. Transutricular seminal vesiculoscopy in hematospermia: technical considerations and outcomes[J]. Urology, 2009, 73(6): 1377-1382.
Wang H F, Ye H M, Xu C L, et al. Transurethral seminal vesiculoscopy using a 6F vesiculoscope for ejaculatory duct obstruction: initial experience[J]. J Androl, 2012, 33(4): 637-643.
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