CAJ | 학술논문

目的评价小儿输尿管镜下行精道疏通加精囊灌洗对难治性Ⅲ型前列腺炎的治疗效果.方法收集45例难治性Ⅲ型前列腺炎患者,随机分为两组,手术组行小儿输尿管镜下精道疏通加精囊灌洗手术,对照组服用前列腺相关药物治疗4周以上,治疗后随访1年并评价其临床疗效.结果难治性Ⅲ型前列腺炎患者45例,手术组20例,其中伴有血精2例,精囊结石1例,术后20例患者临床症状均有改善,其中显著改善者13例(65％).对照组药物治疗后25例患者临床症状中18例(72％)有改善,显著改善者6例(24％),随访1年,18例改善者中有7例(39％)临床症状反复.结论手术治疗与药物治疗对难治性前列腺炎临床症状都有一定效果,但是小儿输尿管镜下精道疏通加精囊灌洗对难治性Ⅲ型前列腺炎疗效将更加显著.
목적 평개소인수뇨관경하행정도소통가정낭관세대난치성Ⅲ형전렬선염적치료효과.방법 수집45례난치성Ⅲ형전렬선염환자,수궤분위량조,수술조행소인수뇨관경하정도소통가정낭관세수술,대조조복용전렬선상관약물치료4주이상,치료후수방1년병평개기림상료효.결과 난치성Ⅲ형전렬선염환자45례,수술조20례,기중반유혈정2례,정낭결석1례,술후20례환자림상증상균유개선,기중현저개선자13례(65％).대조조약물치료후25례환자림상증상중18례(72％)유개선,현저개선자6례(24％),수방1년,18례개선자중유7례(39％)림상증상반복.결론 수술치료여약물치료대난치성전렬선염림상증상도유일정효과,단시소인수뇨관경하정도소통가정낭관세대난치성Ⅲ형전렬선염료효장경가현저.
Objectives To evaluate the efficacy of intractable chronic pelvic pain syndrome by ureteroscopy dredging the seminal duct and lavaging seminal vesicle.Methods 45 cases of intractable chronic pelvic pain syndrome were collected,which were divided into two groups randomly,Operation group executed operation by ureteroscopy dredging the seminal duct and lavaging seminal vesicle,Control group continued to receive the medication more than 4 weeks.Followed up 1 year and evaluated the curative effect.Results 45 cases of intractable chronic pelvic pain syndrome,In Operation group 20 cases clinlcal symptom was improved and significant improvement was found in 13 cases (65 ％) of them.In Control group,18 cases (72％) clinlcal symptom were improved and significant improvement was found in 6 cases(24％).Followed up 1 year,7 cases (39％) recurrent attacks.Conclusions Both operation and medication are effective to intractable chronic pelvic pain syndrome.But the operation by ureteroscopy dredging the seminal duct and lavaging seminal vesicle is more effective.