可视穿刺系统在血精患者临床诊治中的应用研究

Clinical application of all seeing needle system in diagnosis and treatment of patients with hematospermia

摘要:

目的 观察可视穿刺系统在血精患者临床诊治中的临床效果。方法 2015 年5 月-2016 年9 月， 22 例于该院住院的血精患者，采用可视穿刺系统替代传统精囊镜实施精囊镜检查术和精囊结石碎石取石术。 结果 所有患者均成功寻找到精囊腺开口并成功进入精囊腺腺体内，16 例为精囊慢性炎症，给予稀释碘伏水 冲洗，6 例为精囊结石，给予钬激光碎石、套石篮结石取出术，平均手术时间（15.7±6.2）min，术后第2 天拔 出尿管，术后住院平均2 d，随访3 ～ 6 个月，20 例患者血精症状消失（90.9%），无明显手术并发症及远期并 发症出现。结论 应用可视穿刺替代传统精囊镜系统实施精囊检查手术，因穿刺系统短，方向性和可操作性 均较精囊镜具有明显优势，手术时间短，操作简单，易于掌握，无明显并发症。

Abstract:

Objective To observe the clinical application of all seeing needle system system in diagnosis and treatment of patients with hematospermia. Methods From May 2015 to September 2016, 22 patients with hemospermia were treated with seminal vesiculoscopy and seminal vesicle lithotripsy by using a all seeing needle system instead of traditional seminal vesicle. Results All the patients were successfully found the seminal vesicle gland and successfully entered the seminal vesicle gland, 16 cases had chronic inflammation of the seminal vesicle, dilute iodine rinse, 6 cases of seminal vesicle, holmium laser lithotripsy, stone basket to remove. The average operation time was (15.7 ± 6.2) min. The catheterization was performed the next day after operation. The average hospital stay was 2 d. After follow-up for 3 to 6 months, 20 patients had disappeared (90.9%). No complication was found Disease and long-term complications. Conclusion The all seeing needle system can replace the traditional seminal vesicle for the operation of seminal vesicle. The puncture system is short, directional and maneuverable. It has advantages of short operation time, simple operation, easy to master and no complications.