摘要
经尿道精囊镜检术是近年来在少数医疗中心开展的一项新技术,起初主要应用于诊治顽固性血精症。随着经验的积累和手术技巧的成熟,特别是自然腔道精囊镜技术的应用,其适应证逐渐有所拓展,除顽固性血精症外,其他某些精道远端疾病如射精管梗阻性严重少弱或无精症及精道囊肿等都可采用该方法治疗。本文拟就经尿道精囊镜技术手术适应证、手术方法和技巧、临床应用进展及前景作一概述。
Transurethrat seminal vesiculoscopy was gradually performed in a few major medical centers as a novel technique in recent years. In the beginning it was a novel diagnostic and therapeutic procedure for persistent or recurrent hemospermia. With the development of professional skills and accumulated experience, especially transurethral seminal vesiculoscopy through ejaculation tube as a natural orifice been used, these indications have extendedly been expanded. Natural orifical seminal vesiculoscopy was not only an optimally endoscopic intervention for the treatment of refractory hematospermia, but also be applied to treat some distal seminal tracts disorders such as Mullerian duct cyst, severely oligospermia or azoospermia caused by ejaculatory duct obstruction. The indications, tips and tricks, surgical technique of transurethral Seminal vesiculoscopy and prospect of clinical application were reviewed.
作者
肖恒军
XIAO Heng-jun(Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China)
出处
《现代泌尿外科杂志》
CAS
2017年第1期7-11,共5页
Journal of Modern Urology
基金
广东省科技计划项目(No.2011B060300003
2013B022000045)
关键词
精囊镜
血精症
射精管梗阻
自然腔道
精道远端
transurethral seminal vesiculoscopy
hemospermia
ejaculation duct obstruction
natural orifice
distal seminal tracts