精囊镜治疗常染色体显性多囊肾病相关精囊疾病的疗效分析.docVIP

精囊镜治疗常染色体显性多囊肾病相关精囊疾病的疗效分析 翟晓强 赵军 李和程 张栋 张连栋 王子明 种铁 西安交通大学第二附属医院泌尿外科 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的:探讨经尿道精囊镜检查术治疗常染色体显性多囊肾病 (ADPKD) 相关的顽固性血精及射精管梗阻性无精子症的疗效。方法:2015年1月2016年10月, 我院共收治ADPKD相关精囊疾病7例, 其中以顽固性血精为主要表现3例, 以梗阻性无精子症为主要表现4例。收集上述7例患者的临床资料, 进行回顾性分析。结果:患者盆腔磁共振主要表现为双侧精囊扩张, 精囊的平均宽度为25mm, 长度为45.8mm。除精囊扩张外, 3例顽固性血精患者中2例出现单侧精囊内信号异常, 1例精囊结石;4例梗阻性无精子症患者中1例表现为射精管囊肿, 1例单侧精囊内信号异常。所有患者均行精囊镜检查术, 平均手术时间35 (2050) min。所有患者均获得随访, 以顽固性血精为主要表现的3例患者术后3个月血精症状均消失;以梗阻性无精子症为主要表现的4例患者术后3个月复查, 2例精液质量恢复正常, 2例精液量仍1.5ml, 离心后可见少量精子。术后6个月, 1例患者配偶成功妊娠。结论:ADPKD可累及精囊、附睾等男性生殖器官, 累及精囊时患者可表现为梗阻性无精子症或顽固性血精。经尿道精囊镜检查术治疗表现为顽固性血精及梗阻性无精子症的常染色体显性多囊肾病安全、有效。 关键词： 常染色体显性多囊肾病; 精囊镜; 血精症; 无精子症; 作者简介：种铁, E-mail:chongtie@126.com 收稿日期：2017-05-07 Efficacy and safety analysis of transurethral seminal vesiculoscopy in the treatment of autosomal dominant polycystic kidney disease related seminal vesicle disease ZHAI Xiaoqiang ZHAO Jun LI Hecheng ZHANG Dong ZHANG Liandong WANG Ziming CHONG Tie Department of Urology, Second Affiliated Hospital of Xian Jiaotong University; Abstract： Objective:To evaluate the utility of transurethral seminal vesiculoscopy for treatment of autosomal dominant polycystic kidney disease (ADPKD) related persistent and recurrent hemospermia and azoospermia secondary to ejaculatory duct obstruction (EDO) .Method:From January 2015 to October 2016, seven cases of ADPKD, including three cases of persistent and recurrent hemospermia as the main symptom and four cases of obstructive azoospermia as the main symptom were treated in our hospital.Clinical data of the patients were collected and retrospectively analyzed.Result:Pelvic magnetic resonance (MR) of the patients showed bilateral seminal vesicle dilatation, the average width and length of the seminal vesicle were 25 mm and 45.8 mm, respectively.In addition to bilateral seminal vesicle dilatation, two of three patients with persistent and recurrent hemospermia showed the typical change