摘要
目的 提高对精囊囊肿的认识 ,以利于正确诊断和有效治疗。 方法 对 16例精囊囊肿患者的诊断和治疗情况进行回顾性总结。 16例患者临床表现以血精最为多见 ,其次为膀胱刺激症状和会阴部不适或疼痛。行直肠指检、B超、CT及MRI等进行诊断。肿物大小为 3 8cm× 3 0cm×2 6cm～ 9 6cm× 5 2cm× 5 0cm ,16例均经病理证实。均行开放性手术治疗 ,其中行精囊切除术12例 ,精囊部分切除术 4例。 结果 16例均治愈出院。除外 1例患者术后出现附睾炎治愈外 ,均无其它并发症的发生。随访 10例患者 (6例失访 ) 1个月至 2 2年 ,临床症状均消失 ,复查B超或CT均未见囊肿复发。 结论 对血精和难以解释的膀胱刺激症状或尿道生殖系的主诉要考虑患有本病可能 ;直肠指检、影像学检查为精囊囊肿诊断的主要手段。精囊切除术及精囊部分切除术具有良好的效果。
ObjectivesTo deepen the understanding of patients with seminal vesicle cyst for correct diagnosis and treatment.MethodsSixteen patients with seminal vesicle cysts were treated in the period of January 1980-May 2002. Thein symptoms, diagnostic results, treatment and outcomes were analyzed retrospectively. The mean age of these patients at diagnosis was 31 years (range 19-43).Two patients were associated with ipsilateral renal agenesis. Symptoms incladed hematospermia in 12(75%) patients, urinary frequency in 8(50%),hematuria after ejaculation in 6(27.5%), perineal malaise in 6(27.5%), infertility in 3(13.7%), pain after ejaculation in 3(13.7%), scrotal pain in 2 (12.5%) and dysuria in 1(6.3%). Cyst was palpable in 81.3% patients on digital rectal examination. All patients underwent intravenous urography and cystoscopy. Others received ultrasonography, CT scanning,MRI, and vasovesiculography. The size of masses ranged from 3.8 cm×3.0 cm×2.6 cm to 9.6 cm×5.2 cm×5.0 cm. Final open surgery consisted of vesiculectomy (4 patients) and partial vesiculectomy (12).ResultsPostoperative course was uneventful except in 1 patient with epididymitis. All patients were free of symptoms after open surgeryo.ConclusionsSeminal vesicle cysts are rare but should be considered in men with hematospermia and otherwise inexplicable bladder irritation symptoms, perineal discomfort or other genitourinary complaints of unknown etiology. Diagnosis consists of digital rectal examination, transrectal and abdominal ultrasonography, CT scan or MRI. Vesiculectomy and partial vesiculectomy give excellent results.
出处
《中华外科杂志》
CAS
CSCD
北大核心
2003年第6期433-435,共3页
Chinese Journal of Surgery
