经尿道精囊输精管插管术临床应用30例报告

Clinical application of transurethral catheterization of vas deferens and seminal veside in seminal duct obstruction: report of 30 cases

目的探讨经尿道精囊输精管插管术在诊断精道通畅情况和治疗精道疾病中的应用价值。方法回顾性分析采用输尿管镜经射精管精囊逆行插管,并留置输尿管导管造影行药物冲洗引流等方法诊断精道梗阻及治疗精道疾病患者30例的临床资料。结果所有患者留管造影都可见精道明显显影,且均有不同程度的症状改善。随访3个月,复发3例。结论经尿道精囊输精管插管术对精道梗阻的诊断及精道疾病的治疗有较好的效果,输尿管镜下精囊输精管置管术效果显著,并发症少,临床应用价值较高。

Objective To explore the value transurethral catheterization of vas deferens and seminal veside in the diagnosis of seminal duct obstruction and the treatment of seminal duct diseases .Methods A retrospective analysis was performed on the clinical data of 30 patients who received ureteroscopic retrograde cathe terication via ejaculatory duct and seminal veside and indwelling catheter for radiography ,and treatment （ including drug irrigation ect ） ,in order to diagnose seminal duct obstruction and treat seminal duct diseases .Results Angiography showed the seminal duct had obvious development in all patients .The patients had varying improvement in symptoms , Follow-up of 3 months showed 3 cases had recurrence .Conclusion Transurethral catheterization of vas deferens and seminal veside in the diagnosis of seminal duct obstruction and treatment of seminal duct diseases has a good effect .Transureteroscopic catheterization of vas deferens and seminal veside has significant effect , fewer complications , and a high clinical value .