摘要
目的 :探讨血精症病因的诊断与治疗。方法 :对 4 2例血精症患者中 4 1例进行超声引导下经会阴精囊穿刺造影 ,精囊液常规检查和细菌培养及其他检查 ;1例作直肠指检、CT与超声检查。针对血精症的病因采用多种方法进行治疗。结果 :4 2例血精症的病因分别为前列腺癌、精囊癌和后尿道炎症各 1例 ,精阜开口处息肉 4例 ,精囊炎 35例 ,其中 17例并发前列腺炎。 2例肿瘤源性血精症采用根治性前列腺和精囊切除术后治愈 ,35例炎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后 32例血精消失 (91.4 % ) ,4例精阜开口处息肉和1例后尿道炎症经相应治疗后痊愈。结论 :血精症主要是下尿路生殖道的炎症 ,尤其是前列腺和精囊炎引起 。
Purpose:To investigate the diagnosis and treatment for etiology of hemospermia.Methods:42 patients with hemospermia were treated between April 1988 and January 2001. Of them 41 cases underwent transperineal bilateral seminal veseculography under ultrasound guidance, aspirated seminal vesicle fluid and other examinations. 1 case underwent digital rectal examination, CT and transrectal ultrasound. Many kinds of methods were adopted for treatment of etiology of hemospermia.Results:The etiology of hemospermia was determined in all patients. Of them the etiology was prostatic carcinoma in 1, seminal vesicle carcinoma in 1, posturethritis in 1, polyps of verumontanum in 4, seminal vesiculitis in 18 and prostatovesiculitis in 17. Radical prostate and seminal vesiculectomy was performed in 2 patients. Continuous transcatheter antibiotic drugs instillation therapy was adopted for 35 patients with urogenital inflammation and cure rate was 91.4 %. Corresponding treatments were performed in 5 patients with polyps of verumontanum and posturethritis.Conclusions:Hemospermia is mainly caused of lower urogenital infections, especially with prostatovesiculitis. Transperineal seminal vesicle puncture under ultrasound guidance and continuous transcatheter antibiotic drugs instillation was an effective method for diagnosis and treatment of hemospermia owing to urogenital inflammation.
出处
《临床泌尿外科杂志》
2003年第5期289-290,共2页
Journal of Clinical Urology
关键词
血精症
病因
诊断
治疗
Hemospermia
Ultrasound guidance
Puncture
