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目的:探讨精囊镜治疗精囊结石内镜手术治疗方法,评价其有效性。方法:18例精囊结石患者,年龄26~58岁,平均(41.5±5.3)岁,平均病程(6.6±3.6)个月,15例顽固性血精、3例会阴部不适、2例射精疼痛,术前经B超、X线片或CT诊断为精囊结石,单侧16例,双侧2例,17例利用精囊镜通过射精管开口进入精囊行精囊结石取石,1例结石较大行钬激光碎石术。结果:平均手术时间(35.6±13.4)min,平均住院时间(4.1±1.5)d,平均随访(6.4±3.1)个月。15例(15/15)血精完全消失,2例(2/2)射精疼痛消失,2例(2/3)会阴部不适明显缓解,1例(1/18)于术后1周出现右侧附睾炎,经抗炎治疗5 d后缓解。结论:利用精囊镜的腔内技术治疗具有创伤小、效果好、并发症少等优点,是治疗精囊结石的有效方法。
Objective: To explore the treatment of seminal vesicle with seminal vesicle endoscopic surgery and evaluate its effectiveness. Methods: Seventy - eight patients with seminal vesicle were aged 26-58 years old (average, 41.5 ± 5.3) years old with an average duration of (6.6 ± 3.6) months. Fifteen patients with refractory semen, three patients with perineal discomfort, two patients with ejaculation pain Before the B ultrasound, X-ray or CT diagnosis of seminal vesicle stones, unilateral in 16 cases, bilateral in 2 cases, 17 cases using the seminal vesicle through the ejaculatory duct spermatic cord into the Seminal vesicle stones, 1 case of larger stones holmium laser broken Stone surgery. Results: The average operation time (35.6 ± 13.4) min and average length of hospital stay (4.1 ± 1.5) days were average follow-up (6.4 ± 3.1) months. 15 cases (15/15) of blood serum disappeared completely, 2 cases (2/2) of ejaculation pain disappeared, 2 cases (2/3) perineal discomfort was relieved obviously, 1 case (1/18) appeared right after 1 week Epididymitis, after 5 days of anti-inflammatory treatment to ease. Conclusion: The treatment of seminal vesicle with seminal vesicle has the advantages of less trauma, better effect and less complications. It is an effective method for the treatment of seminal vesicle stones.