Zinner综合征的诊断和微创治疗(附2例报告并文献复习)

Diagnosis and minimally invasive treatment of Zinner syndrome(Report of two cases and literature review)

目的：根据2例Zinner综合征患者的诊治过程，结合有关文献探讨其临床特征，诊断方法和微创治疗手术。方法：本院近年收治的2例Zinner综合征患者，1例行经腹腔镜精囊囊肿切除加输尿管残端切除术，另1例行经尿道精囊囊肿去顶减压术加精囊壁电灼术。根据该类患者的临床表现、诊断和治疗过程，结合相关文献对该病的临床特征和治疗后随访结果进行分析。结果：2例手术均顺利完成，平均手术时间95min，无膀胱、直肠等手术并发症，术后随访3～12个月，患者术前不适症状消失，无勃起及射精功能障碍。结论：一侧肾缺如合并同侧盆腔内占位，需要考虑Zinner综合征的可能，微创手术尿道精囊镜下囊肿去顶减压加内膜烧灼术是这类患者的理想选择方式。

Objective： To explore the clinical features, diagnosis and minimally invasive operation treatment of Zinner syndrome according to the clinical data of two cases and review the relevant literature. Method： Two cases of Zinner syndrome were treated in our hospital recently. One underwent laparoscopic seminal vesicle cyst excision and ureteral stump resection, and the other underwent transurethral seminal vesicle cyst unroofing and seminal vesicle wall electrocautery. According to the clinical manifestation, diagnosis and treatment of such patients, combined with relevant literature on the disease, we analyzed the clinical features and the treatment results after follow-up. Result： Two operations were successfully completed. The average operation time was 95 rain, and no operation complications on bladder or rectum was found. Patients were followed up for 3-12 months. Preoperative symptoms were cured without erectile and ejaculatory dysfunction. Conclusion.. If unilateral renal agenesis with ipsilateral pelvic lesions was found, Zinner syndrome should be considered. Minimally invasive operation such as transurethral seminal vesicle cyst unroofing and seminal vesicle wall electrocautery is ideal for this kind of patient.