两种精囊镜检查方法成功率的对比研究。
A Comparative Study on the Success Rates of Two Approaches for Seminal Vesiculoscopy.
机构信息
Department of Andrology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Department of Health, North Beijing Medical District of the PLA General Hospital, Beijing, China.
出版信息
Am J Mens Health. 2022 Jul-Aug;16(4):15579883221115615. doi: 10.1177/15579883221115615.
This study aimed to compare the success rates of two approaches for seminal vesiculoscopy: through the interior of the prostatic utricle and through the neck of the prostatic utricle. The patients were divided into two groups based on the seminal vesiculoscopy used. Group A was an interior of the prostatic utricle group (152 cases), and group B was a neck of the prostatic utricle group (146 cases). The general clinical data, intraoperative conditions and surgical results of the two groups were compared. Compared with group A, group B had a higher surgical success rate (94.5% vs. 62.5%, < .001), a shorter operation time (33 min vs. 45 min, < .001), less blood loss (0.5 ml vs. 2 ml, < .001), a higher pain relief rate (86.6% vs. 52.3%, < .001), a higher remission rate of haemospermia (82.2% vs. 58.5%, = .011), a lower recurrence rate of pain (10.4% vs. 35.4%, < .001), a lower recurrence rate of haemospermia (15.6% vs. 37.7%, = .014), a higher symptom remission rate of the lower urinary tract (90.9% vs. 50.0%, = .030), a higher remission rate of scrotal moisture (84.6% vs. 45.5%, = .042) and a higher remission rate of frequent spermatorrhea (80.0% vs. 55.6%, = .033). Seminal vesiculoscopy undertaken through the neck of the prostatic utricle has the characteristics of high success rate, short operation time and good surgical effect and is worthy of promotion and application.
本研究旨在比较两种精囊镜检查方法的成功率
通过前列腺囊内部和通过前列腺囊颈部。根据使用的精囊镜将患者分为两组。A 组为前列腺囊内部组（152 例），B 组为前列腺囊颈部组（146 例）。比较两组的一般临床资料、术中情况和手术结果。与 A 组相比，B 组手术成功率更高（94.5% vs. 62.5%， <.001），手术时间更短（33 分钟 vs. 45 分钟， <.001），出血量更少（0.5 毫升 vs. 2 毫升， <.001），疼痛缓解率更高（86.6% vs. 52.3%， <.001），血精缓解率更高（82.2% vs. 58.5%， =.011），疼痛复发率更低（10.4% vs. 35.4%， <.001），血精复发率更低（15.6% vs. 37.7%， =.014），下尿路症状缓解率更高（90.9% vs. 50.0%， =.030），阴囊潮湿缓解率更高（84.6% vs. 45.5%， =.042），频繁遗精缓解率更高（80.0% vs. 55.6%， =.033）。经前列腺囊颈部行精囊镜检查具有成功率高、手术时间短、手术效果好的特点，值得推广应用。
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