精囊镜技术在泌尿男科疾病中的应用进展

Application of transurethral seminal vesiculoscopy in uroandrology

随着生活水平的不断提高,人们对男性泌尿生殖健康的关注意识逐渐增强,使得泌尿男科事业近年来得到蓬勃发展。男科常见一类患者其主要表现为顽固性血精、不育、会阴部疼痛等,以往该类患者的诊断主要依靠影像学检查,但无法达到病因学诊断,且假阳性率较高。患者常用药物或物理等保守治疗,预后不佳;反复发作者常采用经尿道电切镜手术、腹腔镜手术或开放手术治疗,但由于并发症较多、术后恢复慢,易复发等原因,目前应用较少。近年来,精囊镜技术在泌尿男科疾病中广泛用于诊治上述患者,具有疗效好、并发症少等优势。本文拟就经尿道精囊镜技术的手术适应症、手术方法和技巧、临床应用及其进展作一概述。

With the continuous improvement of living conditions, increasing attention is being drawn to the genitourinary health of males, which has boomed the development of uroandrology in recent years. Refractory hemospermia, infertility, and perineal pain are commonly seen in some male patients, and mainly relied on medical imaging for diagnosis in the past, which, however, has a high pseudopositive rate and cannot give an etiological explanation. Patients with these diseases often adopt conservative treatments such as medication and physiotherapy, often with poor prognosis, and those suffering frequent recurrence used to be treated by transurethral resection, laparoscopic surgery or open surgery, which are now rarely employed due to their high rate of postoperative complications, slow recovery, and easy recurrence. In recent years, transurethral seminal vesiculoscopy has gained a wide application in the diagnosis and treatment of the above-mentioned uroandrological diseases and shown its advantages of high clinical effectiveness and low incidence of complications. The review updates on the indications, methods, skills and clinical application of transurethral seminal vesiculoscopy. Natl J Androl, 2020, 26(10): 938-943.