精囊镜不同入路治疗慢性精囊炎的疗效对比

目的 探讨精囊镜下经正常解剖结构射精管开口进入精囊及经前列腺小囊破壁进入精囊治疗精囊炎的疗效.方法 纳入2012年1月至2020年10月徐州市中心医院收治的215例以血精为主要表现的慢性精囊炎患者215例,根据精囊镜入路分成正常射精管开口进入组(A组,n=82)和经前列腺小囊破壁进入组(B组,n=133),术后至少随访...

Effect of different approaches of seminal vesiculoscopy in the treatment of chronic seminal vesiculitis

Objective To investigate the effect of entering the seminal vesicle through the opening of ejaculatory duct of normal anatomical structure and breaking the wall of prostatic vesicle in the treatment of seminal vesiculitis.Methods A total of 215 patients with chronic seminal vesiculitis with hematospermia as the main manifestation treated in Xuzhou Central Hospital from January 2012 to October 2020 were included.They were divided into normal ejaculatory duct opening entry group(group A,n=82)and prostate vesicle wall breaking entry group(group B,n=133).The patients were followed up for at least 6 months to observe the recurrence 6 months after operation,the number of red blood cells in semen 1 month after operation,the volume of seminal vesicle under color Doppler ultrasound,and the incidence of ejaculatory pain 1 month after operation.Results All patients completed the operation.The postoperative recurrence rate in group A was significantly higher than that in group B(12.20%vs 4.51%,P<0.05).One month after operation,the number of red blood cells and seminal vesicle volume in group B were better than those in group A,and the incidence of ejaculatory pain in group B was lower than that in group A(P<0.05,P<0.01).Conclusion For patients with chronic seminal vesiculitis,seminal vesiculoscopy and treatment by breaking the wall of prostate vesicle into seminal vesicle has lower postoperative recurrence rate and better treatment effect.