【摘要】 目的:探讨经尿道输尿管镜技术在血精症诊断和治疗中的应用和可行性。方法:采用经尿道输尿管镜技术对43例血精症患者进行经尿道输尿管镜检查和冲洗取石,并对治疗经验进行总结,以探讨经尿道输尿管镜技术在血精症诊断和治疗中的应用价值。结果:43例检查均成功,明确了病因,进行了冲洗、取石等治疗,平均手术时间25(18~45)m in,术中、术后无明显并发症,随访1~24个月,血精完全消失35例,症状减轻者6例,无效者2例,术后性生活均正常,均无逆行感染发生。结论:应用经尿道输尿管镜技术对血精症诊断和治疗的安全性高、病因诊断率高,治疗效果好,可以同时达到检查和治疗的目的,具有很好的临床应用价值,值得在临床推广应用。更多还原

【Abstract】 Objective:To explore the clinical application value of transurethral ureteroscopy in the diagnosis and treatment of hemospermia.Methods:We summed up and analyzed the experience in the diagnosis and treatment of 43 hemospermia patients by transurethral ureteroscopy and douching therapy.Results:The disease causes were clearly determined and the therapeutic procedures successfully accomplished in all the cases.The mean surgical time was 20(18-45) minutes.No significant complications developed either intraoperatively or postoperatively.The patients were followed up for 1-24 months,during which hemospermia symptoms completely disappeared in 35 and were relieved in 6 of the cases,but the other 2 remained unimproved.All the patients had normal sexual life and none experienced retroinfection postoperatively.Conclusion:Transurethral ureteroscopy,advantageous for its safety,high rate of detection,good effect of treatment and fewer complications,deserves to be popularized in the clinical diagnosis and treatment of hemospermia.更多还原