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精囊囊肿临床少见,随着影像学诊断技术的发展对本病认识的提高,报告逐渐增多。我科于1990年7月与1996年3月分别收治1例,现报告如下。 例1 47岁。因血精1年,伴尿急、尿频、尿痛20天于1990年7月入院。直肠指诊发现前列腺上方约1cm处触及一约5cm×6cm大小肿物,上界触不清,质中等,表面光滑,活动度不大,无压痛。前列腺约3cm×2.5cm大小,中间沟存在,无明显结节。精液红细胞(++)。尿常规、肾功能均在正常范围内。B超示右肾缺如,膀胱区后壁偏右侧有一5cm×5cm肿物。膀胱镜检查未发现异常。静脉尿路造影(IVU)右肾不显影。精囊造影示右侧精囊上移,可见一5cm×5cm阴影。诊断为右侧精囊囊肿。于连续硬膜外麻醉下行耻骨上经膀胱切口,纵形切开膀胱三角区及后壁约6cm,显露双侧精囊,发现右精囊内下方与射精管间有一囊性肿物,约5cm×4cm×4cm大小,前壁与两侧壁与周围粘连较紧。囊内壁尚光滑。无肿物,囊液为陈旧性血液约30ml。病理报告为:精囊囊肿,囊液内查见精子。
Seminal vesicle cysts are rare, with the development of diagnostic imaging technology to improve the understanding of the disease, the report gradually increased. My department in July 1990 and March 1996 were treated in 1 case, are as follows. Example 1 47 years old. 1 year due to blood, with urgency, frequent urination, dysuria 20 days in July 1990 admitted. Rectal fingerprinting found about 1cm above the prostate touched about 5cm × 6cm size of the tumor, the upper boundary touch, medium quality, smooth surface, little activity, no tenderness. Prostate about 3cm × 2.5cm size, the middle groove exists, no obvious nodules. Sperm red blood cells (++). Urine routine, renal function are in the normal range. B ultrasound showed absence of the right kidney, bladder wall posterior wall on the right there is a 5cm × 5cm tumor. Cystoscopy found no abnormalities. Intravenous urography (IVU) Right kidney does not develop. Seminal vesicle angiography shows the right seminal vesicle up, showing a 5cm × 5cm shadow. Diagnosis of the right seminal vesicle cyst. In the continuous epidural anesthesia under the suprapubic transvesical incision, vertical incision of the bladder trigone and the posterior wall of about 6cm, revealed bilateral seminal vesicles and found the right seminal vesicle and the ejaculatory duct below a cystic mass, about 5cm × 4cm × 4cm size, the front wall and the two sides of the wall and the tight adhesion. Capsule wall is still smooth. No tumor, cyst fluid is about 30ml old blood. Pathology report: seminal vesicle cyst, cyst fluid check sperm.