精囊镜射精管扩张联合经尿道电切治疗射精管囊肿的效果评价

Effect evaluation in dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy in the treatment for ejaculatory duct cyst

目的探讨经尿道囊肿电切术联合精囊镜下射精管扩张术治疗射精管囊肿的疗效。方法选取2014年10月—2019年6月16例因射精管囊肿梗阻导致的少精症或无精症患者,均给予经尿道电切联合经尿道精囊镜下射精管扩张术治疗。结果16例患者术前精液量0.6~1.8 m L,精浆果糖明显降低,其中12例为无精症,4例为弱精症。所有患者均完成手术,术后随访至少6个月。术后1年有5例患者精囊腺显著缩小,其中4例患者配偶术后9~12个月成功妊娠。患者术后精液量较术前显著增多(P<0.05),术后精浆果糖水平显著高于术前(P<0.05)。结论经尿道囊肿电切术联合精囊镜下射精管扩张术治疗射精管囊肿安全、有效。

Objective To explore the efficacy of dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy in the treatment for ejaculatory duct cyst.Methods From October 2014 to June 2019,16 cases with oligospermia or azoospermia caused by obstruction of ejaculatory duct cyst were selected and treated with dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy.Results The semen volume of 16 patients was 0.6 to 1.8 m L before operation,and the fructose of seminal plasma significantly reduced.Among them,12 cases were azoospermia,and 4 cases were asthenospermia.All patients finished operation successfully and were followed up for at least 6 months.The seminal vesicle glands of 5 patients significantly reduced one year after the operation,and spouses of 4 patients were pregnant successfully at 9 to 12 months after the operation.The amount of semen after operation was significantly higher than that before operation(P<0.05),and the level of fructose in seminal plasma after operation was significantly higher than that before operation(P<0.05).Conclusion Dilatation of ejaculatory duct under semioscope combined with transurethral electrotomy is effective and safe in the treatment for ejaculatory duct cyst.