| 魏大东 郭长刚△ 夏海波 包国昌 高志明刘凤军 张磊 武燕龙.精囊镜联合非那雄胺治疗慢性精囊炎反复血精的疗效分析[J].,2016,16(25):4976-4978 |
| 精囊镜联合非那雄胺治疗慢性精囊炎反复血精的疗效分析 |
| Transurethral Seminal Vesiculoscopy combined with Finasteride for ChronicSeminal Vesiculitis with Recurrent Hematospermia |
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| DOI： |
| 中文关键词: 精囊镜 非那雄胺 慢性精囊炎 反复血精 |
| 英文关键词: Seminal vesiculoscopy Finasteride Chronic seminal vesiculitis Recurrent hematospermia |
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| 中文摘要: |
| 目的：探讨精囊镜联合非那雄胺治疗慢性精囊炎反复血精的临床有效性及安全性。方法：2012年1 月至2014 年8 月于我院
住院治疗患者中选取慢性精囊炎反复血精患者62 例，应用随机数字表法，其中实验组31 例，采取精囊镜联合非那雄胺治疗，对
照组31 例，采取单纯精囊镜手术治疗。对比两组患者有效率、复发率、症状改善及精浆果糖改善情况。结果：62 例慢性精囊炎反复
血精患者均顺利完成手术。实验组有效率96.77%、复发率10%，对照组有效率64.52%、复发率50%，两组比较差异有统计学意义；
两组患者治疗后精浆果糖均显著升高，实验组升高程度更为明显（P<0.05）；实验组患者症状如会阴及下腹部不适、尿道烧灼感、性
欲减退、早泄及头晕四肢乏力改善（90.32%）明显好于对照组（64.52%），差异有统计学意义。结论：精囊镜联合非那雄胺治疗慢性
精囊炎反复血精安全、有效，值得临床上推广应用。 |
| 英文摘要: |
| Objective:To evaluate the clinical effectiveness and safety of transurethral seminal vesiculoscopy (TUSV) combined
with finasteride in the treatment of chronic seminal vesiculitis with recurrent hemospermia.Methods:From January 2012 to August
2014,62 patients with chronic seminal vesiculitis recurrent hemospermia were selected from our department of urology surgery, and then
were randomly divided into 2 groups, the control group of 31 cases, which received the operative treatment of transurethral seminal
vesiculoscopy, and experimental group of 31 cases, which received the treatment of transurethral seminal vesiculoscopy combined with
finasteride. The efficient, recurrence rate, symptoms improved and seminal plasma fructose were compared between two groups after
treatment.Results:TUSV was successfully accomplished in all patients. The efficient was 96.77% in experimental group, significantly
higher than that of the control group (64.52%), and the difference was statistically significant (P<0.05). The recurrence rate was 10%in
experimental group, significantly lower than that of the control group (50%), and the difference was statistically significant (P<0.05); the
level of fructose was significantly increased in both two groups, and it was more obviously in the experimental group (P<0.05); The
symptoms improved in the experimental group was significantly better than that of the control group, and the difference was statistically
significant (P<0.05).Conclusion:Transurethral seminal vesiculoscopy combined with finasteride is effective and safe for the treatment of
chronic seminal vesiculitis with recurrent hemospermia. |
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