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目的:探讨男性盆腔囊性疾病的诊断与治疗。方法:回顾性分析我院泌尿外科2003年5月~2013年5月收治的17例男性盆腔囊性疾病患者的临床资料,探讨各疾病发生机制及辅助检查的应用。结果:17例患者中,前列腺囊肿5例(直径>3.0cm)、前列腺囊腺瘤2例、精囊囊肿6例、精囊脓肿2例、精囊腺癌1例、前列腺癌(PCa)伴血肿1例;8例行腹腔镜下囊肿切除术,5例行经尿道囊肿去顶术,2例行经腹囊肿切除术,2例行根治性前列腺切除术;术后随访6个月~10年,未见下尿路症状复发。结论:超声是诊断盆腔囊性疾病的重要方法,根据超声结果,适当选取CT、MRI及膀胱镜检查,可以提高诊断的正确率。当囊肿靠近前列腺尿道时,经尿道囊肿切开术疗效确切;对于靠近膀胱颈及位于精囊的囊性肿物,腹腔镜囊肿切除术为首选;当腹腔镜切除盆腔囊性肿物困难时,可行开腹手术。
Objective: To investigate the diagnosis and treatment of male pelvic cystic disease. Methods: The clinical data of 17 patients with pelvic cystic disease admitted to Department of Urology in our hospital from May 2003 to May 2013 were analyzed retrospectively to investigate the mechanism of the diseases and the application of auxiliary examination. Results: Among the 17 patients, there were 5 cases of prostatic cyst (diameter> 3.0 cm), 2 cases of prostatic cystadenoma, 6 cases of seminal vesicle cyst, 2 cases of seminal vesicle abscess, 1 case of seminal vesicle adenocarcinoma, 1 case of PCa with hematoma ; 8 cases of laparoscopic cyst excision, 5 cases of transurethral cyst debridement, 2 cases of abdominal cyst resection, 2 cases of radical prostatectomy; follow-up 6 months to 10 years, no See the lower urinary tract symptoms recurrence. Conclusion: Ultrasound is an important method to diagnose pelvic cystic disease. According to the results of ultrasound, appropriate selection of CT, MRI and cystoscopy can improve the diagnostic accuracy. When the cyst near the prostate urethra, transurethral cyst incision curative effect is exact; close to the bladder neck and seminal vesicle cystic tumor, laparoscopic cyst excision is preferred; when laparoscopic pelvic cystic tumor removal difficult Open surgery.