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目的总结应用输尿管镜治疗精囊结石症的实用性和有效性。方法 2009年1月～2010年9月收治精囊结石症患者10例,年龄36～68岁,平均46岁;病程6～18个月,平均9个月。术前均行经腹部X线片、经直肠B型超声检查、精囊CT扫描,诊断为精囊结石。其中8例表现为血精,5例伴有射精时疼痛。结石直径1～10mm,平均6mm。采用F6/7.5硬性输尿管镜通过尿道经射精管口插入精囊腔,其中6例结石直接用异物钳取出,4例用钬激光碎石后取出。结果手术时间平均55min,住院时间平均5d。随访时间3～12个月。1例术后1周出现附睾炎症状,给予抗感染治疗1周后治愈。所有患者1个月后复诊均未再次出现血精,复查结石无复发。无1例出现逆行射精、尿失禁、直肠损伤等并发症。结论应用输尿管镜治疗治疗精囊结石症安全、并发症少,且操作简便,是一种有效的治疗精囊结石的方法。
Objective To summarize the practicability and effectiveness of ureteroscopic treatment of seminal vesicle disease. Methods From January 2009 to September 2010, 10 patients with seminal vesicle stones were received, aged from 36 to 68 years (average 46 years). The course of disease was 6 to 18 months (mean, 9 months). All patients underwent preoperative abdominal X-ray, transrectal ultrasound B, seminal vesicle CT scan, diagnosis of seminal vesicle stones. 8 cases showed seminal plasma, 5 cases with pain when ejaculation. Stones diameter 1 ~ 10mm, an average of 6mm. F6 / 7.5 rigid ureteroscope through the urethra through the ejaculatory lumen into the seminal vesicle, 6 cases of stones directly with foreign body forceps removed, 4 cases removed with holmium laser lithotripsy. Results The average operation time was 55 minutes and the average hospital stay was 5 days. Follow-up time of 3 to 12 months. One case had symptoms of epididymitis one week after operation and was cured after one week of anti-infective treatment. All patients 1 month after the referral did not appear again blood serum, no recurrence of stones review. No one case of retrograde ejaculation, urinary incontinence, rectal injury and other complications. Conclusion Ureteroscopic treatment of seminal vesicle stones with safety, less complications, and easy to operate, is an effective treatment of seminal vesicle stones.