中线前列腺囊肿的诊断与治疗

Diagnosis and treatment of midline prostatic cysts.

作者信息

Moukaddam Hicham A, Haddad Maurice C, El-Sayyed Khaled, Wazzan Wassim

机构信息

Department of Diagnostic Radiology, American University of Beirut Medical Center, Lebanon.

出版信息

Clin Imaging. 2003 Jan-Feb;27(1):44-6. doi: 10.1016/s0899-7071(02)00484-9.

DOI:10.1016/s0899-7071(02)00484-9

PMID:12504321

Abstract

We report three patients with midline prostatic cysts (simple, n=1; complex, n=2) that presented with low ejaculate volume and hematospermia. Transrectal ultrasound (TRUS) revealed a midline prostatic cystic structure that could represent either an ejaculatory duct cyst or a Müllerian duct cyst. In one patient, the ejaculatory duct cyst was confirmed by identification of spermatozoa at microscopic analysis of fluid obtained by TRUS-guided needle aspiration. The two other patients underwent transurethral incision of the cyst with complete resolution of symptoms.

摘要

我们报告了3例中线前列腺囊肿患者（单纯性囊肿1例，复杂性囊肿2例），他们均表现为射精量少和血精。经直肠超声（TRUS）显示中线前列腺囊性结构，可能代表射精管囊肿或苗勒管囊肿。在1例患者中，通过对TRUS引导下穿刺抽吸获得的液体进行显微镜分析发现精子，从而确诊为射精管囊肿。另外2例患者接受了经尿道囊肿切开术，症状完全缓解。