精囊镜在顽固性和复发性血精中的诊治效果-单中心经验总结

Transurethral seminal vesiculoscopy in the diagnosis and treatment of persistent or recurrent hemospermia： a single- institution experience

血精的诊断和治疗一直是个棘手问题，复发性血精和顽固性血精尤其如此。在一组回顾性研究中，我们对精囊镜诊断和治疗血精的可行性和有效性进行了分析，同时进行经验总结。自2006年2月至2008年7月，72名血精患者在我泌尿外科中心进行精囊镜检查和治疗。精囊镜的操作采用7F或8F输尿管镜，沿正常精道逆行进入精囊实施检查和相应治疗。在本组病例中，平均随访时间为21．7个月，93．1％的患者给予明确诊断，94．4％完全治愈或症状明显减轻，未发生明显手术并发症和后遗症。研究结果表明，精囊镜是复发性血精和顽固性血精可行而且有效的诊断和治疗方法。

The diagnosis and treatment of hemospermia presents significant difficulty, especially if it persists or recurs. In this retrospective study, we assessed whether transurethral seminal vesiculoscopy is feasible and effective in the diagnosis and treatment of hemospermia. To address this complex condition, we report our experience in a population of patients treated with transurethral seminal vesiculoscopy. From February 2006 to July 2008, 72 hemospermic patients underwent transurethral seminal vesiculoscopy examination and treatment at our urology center. Transurethral seminal vesiculoscopy was performed by a 7-F or 8-F rigid ureteroscope. The endoscopic procedure was conducted through the normal anatomic route of the seminal tracts. In this series, the mean follow-up period was 21.7 months. Definite diagnosis was made for 93.1% patients, and 94.4% patients were cured or showed a decrease in their symptoms. Postoperative complications were not observed in the study. Our study proves that transurethral seminal vesiculoscopy is effective in the diagnosis and treatment of hemospermia with minimal complication.