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射精管梗阻的诊断与治疗(附5例报告) 被引量:2

Diagnosis and treatment of ejaculatory duct obstruction (Report of 5 cases)
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摘要 报告射精管梗阻引起的不育症5例,其主要表现为无精子或少精子症、精子活力降低以及射糖量减少,其中2例有反复性泌尿系感染病史。5例均行经尿道射精管切开术,术后精液量均增多,3例精液质量恢复。并结合文献对其病因、诊断及治疗效果进行讨论,认为射精管梗阻引起的不育症应引起临床重视,经直肠B超检查是诊断射精管梗阻的有效手段,射精管切开术能有效地改善精液质量。 5 cases of ejaculatory duct obstruction with azoospermia,low ejaculate volume,or decreased sperm motility were treated by treansurethral resection of the ejaculatroy ducts. Ejaculate volume increased in all patients, and semen quality showed imporvement in three after surgical treatment. The etiology, diagnosis and treatment of male in fertility caused by ejaculatory duct obstruction were discussed by review of literatures. We believed that transrectal B-ultrasound cxamination was effective in diagnosis of ejaculatory ducts obstruction and transurethral resection of the ejaculatory ducts was efficacy in improving the semen quality.
出处 《临床泌尿外科杂志》 1998年第7期302-302,共1页 Journal of Clinical Urology
关键词 射精管梗阻 不育症 射精管切开术 B超 男性 Ejaculatory duct obstruction Infertility Semenal quality B-ultrasound
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同被引文献11

  • 1姜宏,姜进军,于洪娜,崔俊.苗勒管囊肿与射精管囊肿的超声表现[J].中华医学超声杂志(电子版),2006,3(2):77-79. 被引量:8
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  • 4郭应禄.泌尿系超声诊断治疗学.北京:科学技术文献出版社,2001:337.
  • 5Halpem EJ,Hirsch IH. Sonographically guided transurethral laser duct of the Mullerian duct cyst for the treatment of ejaculatory duct obstruction. AJR, 2000,175 (3) : 777-778.
  • 6Hamper UM,Epstein JI,Sheth S,et al. Cystic lesions of the prostate gland:A sonographic pathologic correlation. J Ultrasound Med, 1990,9(7) : 395-402.
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  • 8Mc Dermott VG, Meakem TJ, Stolpen AH, et al. Prostatic and periprostatic cysts:findings on MR imaging. AJR,1995,164(1) : 123-127.
  • 9刘淑敏,贾文秀,肖萍,刘纯,刘淑霞,刘效慈.苗勒氏管囊肿的声像图[J].中国超声医学杂志,1998,14(7):63-64. 被引量:4
  • 10杨建华,王琳,陈康民,崔爱平.精囊腺B超测量对射精管梗阻性无精子症的诊断意义[J].中国超声医学杂志,2001,17(8):621-623. 被引量:3

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