Han Ping, Yang Yu-Ru, Zhang Xin-Yuan, Wei Qiang
Department of Urology, West China Hospital, Sichuan University, Chengdu, China.
Asian J Androl. 2008 Mar;10(2):337-40. doi: 10.1111/j.1745-7262.2008.00341.x. Epub 2007 Dec 20.
Stones in the seminal vesicles are extremely rare. We present a 62-year-old patient with a stone within a seminal vesicle cyst, who was cured by laparoscopic treatment. The operative time was 80 min, and the estimated blood loss was 90 mL. Scanning electron microscope examination of the stone showed a compact crystal image externally and sparse spherical crystal structure in kernel. Composition of the stone was calcium fluorophosphate on X-ray diffractometer. The follow-up time was 15 months with no recurrence of cyst or stone. To our knowledge, this case is the first to describe laparoscopic removal of a stone within a seminal vesicle cyst, and the first to describe calcium fluorophosphate as the composition of seminal vesicle stones.
精囊结石极为罕见。我们报告一例62岁患者，其精囊囊肿内有结石，经腹腔镜治疗后治愈。手术时间为80分钟，估计失血量为90毫升。结石的扫描电子显微镜检查显示，其外部为致密晶体图像，内核为稀疏的球形晶体结构。X射线衍射仪检测显示结石成分为氟磷酸钙。随访15个月，囊肿或结石均未复发。据我们所知，该病例是首例描述腹腔镜下切除精囊囊肿内结石的病例，也是首例描述氟磷酸钙为精囊结石成分的病例。
