本文選題：血精 + 可視穿刺系統(tǒng)��； 參考：《中國內(nèi)鏡雜志》2017年11期

【摘要】：目的觀察可視穿刺系統(tǒng)在血精患者臨床診治中的臨床效果。方法 2015年5月-2016年9月,22例于該院住院的血精患者,采用可視穿刺系統(tǒng)替代傳統(tǒng)精囊鏡實施精囊鏡檢查術(shù)和精囊結(jié)石碎石取石術(shù)。結(jié)果所有患者均成功尋找到精囊腺開口并成功進入精囊腺腺體內(nèi),16例為精囊慢性炎癥,給予稀釋碘伏水沖洗,6例為精囊結(jié)石,給予鈥激光碎石、套石籃結(jié)石取出術(shù),平均手術(shù)時間(15.7±6.2)min,術(shù)后第2天拔出尿管,術(shù)后住院平均2 d,隨訪3~6個月,20例患者血精癥狀消失(90.9%),無明顯手術(shù)并發(fā)癥及遠期并發(fā)癥出現(xiàn)。結(jié)論應用可視穿刺替代傳統(tǒng)精囊鏡系統(tǒng)實施精囊檢查手術(shù),因穿刺系統(tǒng)短,方向性和可操作性均較精囊鏡具有明顯優(yōu)勢,手術(shù)時間短,操作簡單,易于掌握,無明顯并發(fā)癥。
[Abstract]:Objective to observe the clinical effect of visual puncture system in the diagnosis and treatment of hemospermia. Methods from May 2015 to September 2016, 22 patients with hemospermia were treated with visual puncture system instead of traditional seminal vesicle examination and vitreous stone lithotripsy. Results all the patients successfully found the opening of seminal vesicle gland and successfully entered the gland of seminal vesicle. 16 cases were chronic inflammation of seminal vesicle, 6 cases were treated with dilute iodophor water, 6 cases were treated with holmium laser lithotripsy, and the other 6 cases were treated with holmium laser lithotripsy. The mean operative time was (15.7 鹵6.2) min. The urinary catheter was pulled out on the second day after operation. The average hospital stay was 2 days. The hemospermia symptoms disappeared in 20 patients (90.9%) after 3 to 6 months follow-up. There were no obvious surgical complications and long-term complications. Conclusion using visual puncture instead of traditional seminal vesicle system to perform seminal vesicle examination has obvious advantages over seminal vesicle because of short puncture system, directivity and maneuverability, short operation time, simple operation, easy to master and no obvious complications.
【作者單位】： 河北大學附屬醫(yī)院泌尿外科;
【分類號】：R699.8
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本文編號：2103991