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精道远端区域常见病变及精囊镜诊治技术的应用
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- Author:
- No author available
- Journal Title:
- National Medical Journal of China
- Issue:
- 36
- DOI:
- 10.3760/cma.j.issn.0376-2491.2016.36.001
- Key Word:
- No keyword available
Abstract： 精道是指男性生殖系统中输送精子的管道系统,精子由睾丸曲细精管产生后经过附睾管、输精管、精囊、射精管以及尿道排出体外.精道远端区域包括输精管壶腹、精囊、射精管、前列腺小囊和前列腺等结构.该区域的结构异常可影响精子的正常排出,从而导致射精管梗阻(ejaculatory duct obstruction,EDO),成为引起男性不育的常见原因之一.EDO占男性不育患者的1％～5％[1].该区域常见的病变包括局部炎症和感染、囊肿和结石所致EDO、新生物或肿瘤、血管异常、创伤或医源性损伤等.该类患者临床表现为血精、无精子症、少弱精症、会阴部隐痛及射精痛等.近十余年来,随着各类腔道内镜技术的不断发展,利用精囊镜诊治精道远端区域常见病变,已成为当今男科领域的一种蓬勃发展的新技术.
- [1]刘边疆,李杰,李鹏超,等.应用精囊镜治疗顽固性精囊炎的初步体会[J].2014,(10).
- [2]Kim SH,Kim SW,Paick J.Ejaculatory duct obstruction in infertile men.[J].2000,85(6).
- [3]王明松,周庭友,张勇,等.精道远端区域应用解剖及MRI影像特征研究[J].2015,(23).
- [4]靳风烁,李彦锋.血精及射精管梗阻的精囊镜诊治技术[J].2015,(1).
- [5]Ahmad I,Krishna NS.Hemospermia.[J].2007,177(5).
- [6]Wang, H.,Sun, X.,Zhang, Y.,etc.Role of MRI in assessment of ejaculatory duct obstruction[J].2013,21(1).
- [7]Soloway MS,Ayyathurai R,Nieder AM,etc.Hemospermia following transrectal ultrasound-guided prostate biopsy: a prospective study.[J].2007,10(3).
- [8]Yan-Feng Li,Pei-He Liang,Zhong-Yi Sun,etc.Imaging diagnosis, transurethral endoscopic observation, and management of 43 cases of persistent and refractory hematospermia.[J].2012,33(5).
- [9]MISOP HAN,ROBERT E. BRANNIGAN,JO ANN V. ANTENOR,etc.Association of Hemospermia with Prostate Cancer[J].2004,172(Part 1).
- [10]Joo Yong, Lee,Richilda Red, Diaz,Young Deuk, Choi,etc.Hybrid method of transurethral resection of ejaculatory ducts using holmium: yttriumaluminium garnet laser on complete ejaculatory duct obstruction.[J].2013,54(4).
- [11]P J, Turek,J O, Magana,L I, Lipshultz.Semen parameters before and after transurethral surgery for ejaculatory duct obstruction.[J].1996,155(4).
- [12]Liu,B.,Li,J.,Li,P.,etc.Transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis[J].2014,42(1).
- [13]Li,B.-J.,Zhang,C.,Li,K.,etc.Clinical analysis of the characterization of magnetic resonance imaging in 102 cases of refractory haematospermia[J].2013,1(6).
- [14]Kolokythas,O.,Farg,H.M.,Shebel,H.M.,etc.Cysts of the lower male genitourinary tract: Embryologic and anatomic considerations and differential diagnosis[J].2013,33(4).