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目的:探讨经尿道输尿管镜技术在血精症诊断和治疗中的应用和可行性。方法:采用经尿道输尿管镜技术对43例血精症患者进行经尿道输尿管镜检查和冲洗取石,并对治疗经验进行总结,以探讨经尿道输尿管镜技术在血精症诊断和治疗中的应用价值。结果:43例检查均成功,明确了病因,进行了冲洗、取石等治疗,平均手术时间25(18~45)m in,术中、术后无明显并发症,随访1~24个月,血精完全消失35例,症状减轻者6例,无效者2例,术后性生活均正常,均无逆行感染发生。结论:应用经尿道输尿管镜技术对血精症诊断和治疗的安全性高、病因诊断率高,治疗效果好,可以同时达到检查和治疗的目的,具有很好的临床应用价值,值得在临床推广应用。
Objective: To explore the application and feasibility of transurethral ureteroscopy in the diagnosis and treatment of semen. Methods: Transurethral ureteroscopy was used in 43 cases of patients with seminal vesicoureteral ureteroscopy and rinsed stone, and to summarize the experience of treatment in order to explore the application of transurethral ureteroscopy in the diagnosis and treatment of sepsis . Results: All the 43 cases were successfully diagnosed. The cause of the disease was clear. The patients were treated with washing and stone extraction. The average operation time was 25 (18-45) mm. There was no obvious complication during and after operation. The patients were followed up for 1 to 24 months. 35 patients completely disappeared, symptoms were relieved in 6 cases, 2 cases were ineffective, postoperative sexual life are normal, no retrograde infection occurred. Conclusion: Transurethral ureteroscopy is safe and effective for the diagnosis and treatment of semen. The diagnosis of semen is high, the diagnosis rate is high, and the therapeutic effect is good. It can be used for both examination and treatment at the same time. It has good clinical value and is worthy of clinical application application.