Zinner综合征4例报道并文献复习

Zinner syndrome:a report of four cases and literature review

本文回顾性分析我院4例Zinner综合征患者的临床资料并结合相关文献复习,对Zinner综合征的诊断、治疗等进行讨论。其中1例行腹腔镜下精囊囊肿及输尿管切除术,1例经直肠精囊囊肿穿刺抽吸术,2例保守治疗。行腹腔镜切除术者出院后随访未见并发症及复发征象。行经直肠精囊囊肿穿刺抽吸术者出院1个月后随访,患者症状消失,但经盆腔CT提示精囊囊肿大小同术前,考虑复发。保守治疗者未见明显不适。

In this article,we retrospectively analyzed the clinical data of four patients with Zinner syndrome at our institution and discussed the diagnosis,treatment and other aspects of Zinner syndrome in conjunction with a review of relevant literature.One patient underwent laparoscopic seminal vesicle and ureterectomy,1 patient underwent transrectal seminal vesicle aspiration and 2 were treated conservatively.None had complications or signs of recurrence after laparoscopic resection.After 1 month of hospital discharge,patients were followed up for transrectal aspiration of seminal vesicles,and the symptoms disappeared,but pelvic CT suggested that the seminal vesicles were the same size as before operation and recurrence should be considered.No significant discomfort was seen with conservative treatment.