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目的:报告1例单纯先天性双侧射精管缺如(EDA)伴精囊囊肿的病例,并复习相关文献,提高对本病的诊治水平。方法:通过对1例先天性双侧EDA伴精囊囊肿诊断、治疗的回顾,结合国内外文献报道,综合分析先天性EDA的发生、诊断及治疗。结果:本例经精道造影等检查证实为双侧单纯先天性EDA,合并精囊囊肿,睾丸生精功能正常。结论:先天性EDA源于胚胎期中肾管发育缺陷,精道造影可确诊。双侧EDA患者可行经尿道射精管切开或附睾或睾丸取精行卵细胞胞质内单精子注射治疗。
OBJECTIVE: To report the cases of simple congenital bilateral ejaculatory duct (EDA) with seminal vesicle cysts and to review relevant literature to improve the diagnosis and treatment of this disease. Methods: A retrospective review of diagnosis and treatment of congenital bilateral EDA with seminal vesicle cysts was conducted. The incidence, diagnosis and treatment of congenital EDA were analyzed comprehensively with the reports from domestic and abroad. Results: In this case, the pathological examination confirmed that the bilateral pure congenital EDA, merger seminal vesicle cysts, testicular spermatogenesis is normal. CONCLUSIONS: Congenital EDA originates from defects in the development of the kidneys in the embryo, and fine pathology can be diagnosed. Bilateral EDA patients via transurethral ejaculatory sutures or epididymis or testicular spermatogenic oocyte intracytoplasmic sperm injection.