精囊镜治疗对难治性血精症患者精液WBC、RBC及INH B的影响

Effects of seminal vesicles endoscopy in treatment on semen WBC,RBC,and serum INH B in patients with refractory hemospermia

目的分析经尿道精囊镜治疗对难治性血精症患者精液白细胞(White blood cell,WBC)、红细胞(Red blood cell,RBC)及血清INH B(Inhibin B,INH B)的影响。方法分析2020年1月至2020年10月唐山市中心医院收治的128例难治性血精症患者的临床资料,根据治疗方式的不同将患者分为研究组(n=68,经尿道精囊镜治疗)、对照组(n=60,保守治疗)。比较两组临床疗效,精液WBC、RBC、PRO计数,勃起、射精功能以及并发症。结果研究总有效率为(89.71%)高于对照组总有效率(75.00%),差异有统计学意义(P<0.05)。治疗后两组WBC、RBC计数水平下降,INH B水平上升,其中研究组变化最为显著,差异有统计学意义(P<0.05)。治疗后两组IIEF⁃5、CIPE评分上升,其中研究组变化最为显著,差异有统计学意义(P<0.05)。研究组并发症发生率(4.41%)低于对照组(6.67%),但差异无统计学意义(P>0.05)。结论经尿道精囊镜治疗难治性血精症临床疗效显著,可调节患者WBC、RBC、INH B水平,改善勃起、射精功能,安全性较高,值得临床应用推广。

Objective To analyze the effects of transurethral seminal vesicles endoscopy in the treatment on semen white blood cell(WBC),red blood cell(RBC)and inhibin B(INH B)in patients with refractory hemospermia.Methods The clinical data of 128 patients with refractory hemospermia treated in Tangshan Central Hospital from January 2020 to October 2020 were analyzed,and according to different treatment methods the patients were divided into the study groups(n=68,transurethral seminal vesiclescopy treatment),the control group(n=60,conservative treatment).The clinical effects,the semen WBC,RBC,PRO counts,erectile function,ejaculation function and complications of the two groups were compared.Results The total effective rate in the study group(89.71%)was higher than that in the control group(75.00%),and the difference was statistically significant(P<0.05).After treatment,the count levels of WBC and RBC in the two groups decreased,and the INH B level increased,among which the change in the study group was the most significant,and the difference was statistically significant(P<0.05).After treatment,the IIEF⁃5 and CIPE scores in the two groups increased,and the changes in the study group were more significant,and the difference was statistically significant(P<0.05).The incidence of complications in the study group(4.41%)was lower than that in the control group,but the difference was not statistically significant(6.67%),but the difference was not statistically significant(P>0.05).Conclusion The treatment of refractory hemospermia by urethral seminal vesicles has a significant clinical effect,and can adjust the levels of WBC,RBC,and INH B,and improve erectile and ejaculation functions.It has high safety and is worthy of clinical application and promotion.