| 李亮,严子荣,刘俊杰,等.磁共振成像及精囊镜在顽固性血精诊疗中的应用价值[J].安徽医药,2026,30(10):1964-1968. |
| 磁共振成像及精囊镜在顽固性血精诊疗中的应用价值 |
| Application value of magnetic resonance imaging and transurethral seminal vesiculoscopy in refractory hematospermia |
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| DOI：10.3969/j.issn.1009-6469.2026.10.011 |
| 中文关键词: 血精症 精囊镜技术 磁共振成像(MRI) 诊断 手术治疗 |
| 英文关键词: Hemospermia Transurethral seminal vesiculoscopy Magnetic resonance imaging (MRI) Diagnosis Surgery treatment |
| 基金项目:江苏省六大人才高峰项目( WSW-051)；徐州医科大学科技园创新创业项目( CXCYHZZ2022002) |
| 作者 | 单位 | E-mail | | 李亮 | 徐州医科大学附属医院,全科医学科,江苏徐州 221002
徐州医科大学研究生院,江苏徐州 221004 | | | 严子荣 | 徐州医科大学附属医院,泌尿外科,江苏徐州 221002
徐州医科大学研究生院,江苏徐州 221004 | | | 刘俊杰 | 徐州医科大学附属医院,泌尿外科,江苏徐州 221002 | | | 葛鹏 | 徐州医科大学附属医院,泌尿外科,江苏徐州 221002 | gepengyzu@126.com |
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| 中文摘要: |
| 目的探讨精囊镜手术( TSV)治疗顽固性血精的临床效果并分析顽固性血精病人的磁共振成像( MRI)表现及其影像学特征改变。方法回顾性收集 2012年 2月至 2021年 5月因顽固性血精于徐州医科大学附属医院行 TSV治疗的病人资料。所有影像学资料均重新阅片。结果研究共纳入 68例，平均年龄 46.5岁，所有病人均成功行 TSV。术中常见的表现为射精管梗阻(33.8%)、出血( 23.5%)、前列腺小囊结石(19.1%)和精囊结石( 17.6%)。未观察到严重的术中 /术后并发症。 52例( 85.2%)术后 0.5~6.0个月血精消失。 27例病人的 MRI数据可用，其中， 25例( 92.6%)病人出现特征性改变，包括精囊信号强度改变 20例(74.1%)精囊体积改变 8例( 29.6%)精道远端区域囊性改变 11例( 40.7%)。结论 TSV是治疗顽固性血精有效且可靠的方法， MRI对顽，固性血精病人具有显著的病，因诊断价值，为后续治疗提供可靠信息。 |
| 英文摘要: |
| Objective To investigate the clinical efficacy of transurethral seminal vesiculoscopy (TSV) and to analyze the manifesta-tions and imaging characteristic changes of magnetic resonance imaging (MRI) for the diagnosis and treatment of refractory hematosper-mia.Methods Clinical data of patients, who underwent TSV for refractory hematospermia at The Affiliated Hospital of Xuzhou Medi-cal University from February 2012 to May 2021, were retrospectively collected. All imaging data were re-evaluated by dedicated review. Results Totally, 68 patients were included in this study with a mean age of 46.5 years. TSV was successfully performed in all pa-tients. The most common intraoperative findings were ejaculatory duct obstruction (33.8%), hemorrhage (23.5%), prostatic utricle calcu-li (19.1%) and seminal vesicle (SV) calculi (17.6%). No severe intra-/postoperative complications were observed. Hematospermia disap-peared in 52 (85.2%) patients at 0.5~6.0 months after surgery. MRI data were available for 27 patients, of whom 25 (92.6%) showed typ-ical and characteristic changes, including SV signal intensity changes in 20 (74.1%) patients, SV volume changes in 8 (29.6%) pa-tients, and cystic changes in distal reproductive tract region in 11 (40.7%) patients.Conclusions TSV is an effective and reliable ap-proach for treating refractory hematospermia. MRI has a significant etiological diagnostic value and provides reliable information for thesubsequent treatment in patients with refractory hematospermia. |
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