男性盆腔囊性疾病17例诊治分析

赵鹏; 赵耀瑞; 王勇; 牛文杰; 齐灿; 姜明东; 徐勇; 孙光

doi:10.13201/j.issn.1001-1420.2014.02.011

男性盆腔囊性疾病17例诊治分析

- 天津医科大学第二医院泌尿外科(天津, 300211)

详细信息

通讯作者: 赵耀瑞, E-mail:zhaoyaorui@sina.com

中图分类号: R697

收稿日期: 2013-07-26

Analysis of diagnosis and treatment of male pelvic cystic diseases in 17 cases

- Department of Urology, Second Hospital of Tianjin Medical University, Tianjin, 300211, China

More Information

Corresponding author: ZHAO Yaorui, E-mail: zhaoyaorui@sina.com

Received Date: 26 July 2013

摘要

摘要: 目的: 探讨男性盆腔囊性疾病的诊断与治疗。方法: 回顾性分析我院泌尿外科2003年5月~2013年5月收治的17例男性盆腔囊性疾病患者的临床资料,探讨各疾病发生机制及辅助检查的应用。结果: 17例患者中,前列腺囊肿5例(直径>3.0 cm)、前列腺囊腺瘤2例、精囊囊肿6例、精囊脓肿2例、精囊腺癌1例、前列腺癌(PCa)伴血肿1例;8例行腹腔镜下囊肿切除术,5例行经尿道囊肿去顶术,2例行经腹囊肿切除术,2例行根治性前列腺切除术;术后随访6个月~10年,未见下尿路症状复发。结论: 超声是诊断盆腔囊性疾病的重要方法,根据超声结果,适当选取CT、MRI及膀胱镜检查,可以提高诊断的正确率。当囊肿靠近前列腺尿道时,经尿道囊肿切开术疗效确切;对于靠近膀胱颈及位于精囊的囊性肿物,腹腔镜囊肿切除术为首选;当腹腔镜切除盆腔囊性肿物困难时,可行开腹手术。
- 盆腔囊性疾病 /
- 诊断 /
- 治疗 /
- B超 /
- 腹腔镜
Abstract: Objective: To investigate the diagnosis and treatment of the male pelvic cystic disease. Method:The clinical data of 17 cases with male pelvic cystic diseases in our hospital from May 2003 to May 2013 were retrospectively analyzed. Result:The diagnoses of all cases were as follows:five cases with prostatic cysts (diameter > 3.0 cm), two cases with prostatic cystadenomas, six cases with cysts of seminal vesicle, two cases with abscesses of seminal vesicle, one case with adenocarcinoma of seminal vesicle and one case with prostate cancer combined with hematoma. In these cases, eight of them underwent laparoscopic resections of the cysts; five patients underwent transurethral resections of the cyst roofing; two patients underwent open surgeries of resection of the cysts; two patients underwent radical prostatectomies. No lower urinary tract symptoms relapsed after follow-up period of six months to ten years. Conclusion: Ultrasonography is an important method to diagnose the male pelvic cystic disease. According to the result of the ultrasonography, we selected CT、MRI or/and cystoscopy as further examination. Thus, the accuracy of diagnosis can be improve. Transurethral resection of the cyst roofing is effective to release the obstructive symptoms of lower urinary tract by prostatic cyst near prostatic urethra. Laparoscopic surgery can be chosen for the cyst near the neck of bladder and seminal vesicle. Open surgery will be necessary if laproscopic approach is difficult for pelvic cystic masses.Key words pelvic cystic disease; diagnosis; treatment; B ultrasonography, laparoscope
- pelvic cystic disease /
- diagnosis /
- treatment /
- B ultrasonography /
- laparoscope

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