慢性精囊炎的介入治疗

目的 :探讨超声引导下经会阴精囊穿刺置管滴注抗生素在治疗慢性精囊炎中的价值。　方法 :4 2例血精症病人 ,均行直肠超声检查 ,其中 2例行超声引导下经会阴穿刺活检 ,5例行尿道镜检查 ,余 35例炎症性血精症采用超声引导下经会阴精囊穿刺滴注抗生素治疗。　结果 :35例炎症性血精症 (其中 17例合并前列腺炎 ) ,采用超声引导下经会阴精囊穿刺滴注抗生素治疗后 32例血精消失 (91.4 3% )。　结论 :超声引导下经会阴精囊穿刺和经导管滴注抗生素是一种诊断和治疗慢性精囊炎有效的方法。

Interventional Therapy for the Chronic Seminal Vesiculitis

Objectives: To investigate the efficacy of transperineal seminal vesicle puncture under ultrasound guidance and continuous transcatheter antibiotic drugs instillation for the treatment of chronic seminal vesiculitis. Methods: Forty two patients with hemospermia were treated from April 1988 to January 2001. Of them 35 patients with urogenital inflammation were treated by transperineal seminal vesicle puncture under ultrasound guidance and continuous transcatheter antibiotic drugs instillation. Results: Transperineal seminal vesicle puncture and continuous transcatheter antibiotic drugs instillation therapy was adopted for 35 patients with urogenital inflammation and the cure rate was 91.43 %. Conclusions: Transperineal seminal vesicle puncture under ultrasound guidance and continuous transcatheter antibiotic drugs instillation was an effective method for diagnosis and treatment of chronic seminal vesiculitis.