经直肠超声对前列腺周围囊性病变的诊断与治疗的评估

Value of diagnosis and treatment for patients with cysts around prostate by transrectal ultrasonography

目的探讨经直肠超声对前列腺周围囊肿诊断与治疗的临床意义。方法65例前列腺周围囊肿患者均行经直肠穿刺，获取囊液并分别给予硬化治疗和抗感染治疗。结果先天性囊肿较大且囊液大多清亮，细胞数较少。除非合并其他生殖畸形，对男性生殖影响较少；后天性囊肿多源于感染，囊液内细胞数较多，对生殖尤其是精液、精子影响明显，经直肠超声结合介入治疗对前列腺周围囊肿有较好效果，有效率可达78．46％。结论经直肠超声结合介入治疗是评价前列腺周围囊肿性质及治疗的方法之一。

Objective To assess the value of diagnosis and treatment in patients with cysts around prostate by transrectal ultrasonography. Methods Sixty-five patients with cysts around prostate were punctured by transrectal ultrasonography. According to cultures of the expressed prostatic secretion（EPS） prior to the punctures,65 patients accepted hardener or/and antibiotic treatments. The fluid of these cysts were analysed in the laboratory. Results The fluid of congenital cysts in appearance were clear, in morphology large and in cell-count few. There was no-growth bacterium in culture-mediums. There was little influence for male fertility unless these patients had other malformation in reproductive tracts. Acquired cysts were originated from infection in reproductive tracts. Appearance of these fluid were turbid, cell-count of these fluid were increased ,there were bacteritic growth in culture-mediums. In male fertility, there were more obvious influence for sperms and components of seminal fluid. Total efficient rate of treatments in patients with prostate and round its cysts were 78.46 % by transrectal ultrasonography-guided intervention. Conclusions Transrectal ultrasonography and interventional treatment for patients with cysts around prostate were one of good methods in evaluation of diagnosis and treatment.