精囊镜检术诊治慢性精囊炎性疾病的临床研究

目的 研究精囊镜检术诊治慢性精囊炎性疾病的安全性和疗效.方法 选择我院门诊慢性精囊炎性疾病患者69例,根据患者自愿分为两组,对照组32例采用口服抗生素治疗;观察组37例采用精囊镜检术治疗.所有患者均随访6个月,比较两组症状改善情况及精液红细胞、白细胞、精浆果糖指标改善情况.结果 观察组患者治疗后6个月其精液红细胞阴性率达83.78%(31/37),白细胞阴性率达81.08%(30/37),明显高于治疗前和对照组,差异均有统计学意义(P<0.05);观察组痊愈率和总有效率分别为78.38%(29/37)和94.59%(35/37),均高于对照组的15.63%(5/32)和65.63%(21/32),差异均有统计学意义(P<0.05);观察组无一例出现手术相关并发症.结论 应用精囊镜检术诊治慢性精囊炎性疾病有助于明确病因,镜下治疗快捷有效,是慢性精囊炎性疾病治疗安全可行的方法之一.

Clinical study of microscopic examination in the diagnosis and treatment of chronic inflammatory diseases of seminal vesicle

Objective To study the safety and efficacy of microscopic examination of the seminal vesicle in the diagnosis and treatment of chronic inflammatory diseases of seminal vesicle. Methods Sixty-nine outpatients with chron-ic inflammatory diseases of seminal vesicle in our hospital were divided into two groups according to voluntary. The control group (32 cases) was treated with oral antibiotics, and the observation group (37 cases) received microscopic examination of the seminal vesicle. All patients were followed up for 6 months. The improvement situation in symptoms, red blood cells and white blood cells in semen, as well as seminal plasma fructose were compared between the two groups. Results Six months after treatment, the negative rates of red blood cells and white blood cells in semen were 83.78% (31/37) and 81.08%(30/37) in the observation group, significantly higher than those before treatment and those in the control group (P<0.05). The cure rate and total effective rate were 78.38%(29/37) and 94.59%(35/37) in the observation group, which were significantly higher than 15.63%(5/32) and 65.63%(21/32) in the control group (P<0.05). No patient showed oper-ation-related complications in the observation group. Conclusion For chronic inflammatory diseases of seminal vesi-cle, microscopic examination helps identify the etiology and results in high efficacy, which is safe and feasible for the treatment of the diseases.