JournalofMinimallyInvasiveUrology,Dec.2022,Vol11,No6精囊镜在顽固性血精症中的临床应用邓昊潘晖戴劲杨俊武黄健黄知刚史振雷成少平*[摘要]近年来,泌尿外科微创技术飞速进步,其中精囊镜作为男科界的代表,成为治疗顽固性血精症的新式武器,为男性健康带来福音。精囊镜是目前国际上最先进的精道微创手术,经过多年发展,已被证实具有诊断和治疗的双重价值。它不仅能在直视下对精道进行检查,而且能针对病因各个击破,疗效立竿见影,且并发症少,较非手术治疗更有优越性,在国内外应用日益广泛。在总结了国内外大量关于精囊镜的研究基础上,本文对精囊镜做一系统性概述。[关键词]血精症;精囊镜;并发症[中图分类号]R699.8[文献标识码]B[DOI]10.19558/j.cnki.10-1020/r.2022.06.011TheclinicalapplicationofseminalvesiculoscopyinrefractoryhemospermiaDengHaoPanHuiDaiJinYangJunwuHuangJianHuangZhigangShiZhenleiChenShaoping*(DepartmentofUrology,JingzhouFirstPeople’sHospital,Jingzhou434020,China)Correspondingauthor:ChengShaoping,284422025@qq.comAbstractMinimallyinvasivetechniquesinUrologyhaveadvancedrapidlyinrecentyears,amongwhichsemi⁃nalvesiculoscopyasarepresentativeofandrology,hasbecomeanewweaponforthetreatmentofintractablehemo⁃spermia,bringinggoodnewstomalehealth.Asthemostadvancedminimallyinvasivesurgeryoftheseminalvesicleintheworld,seminalvesicleoscopyhasbeenprovedtohavedualvalueofdiagnosisandtreatmentafteryearsofdevel⁃opment.Itcannotonlyinspectthespermaticcanalunderdirectvision,butalsocanbreakdowneachcauseofthedis⁃ease.Thecurativeeffectisimmediate,andthecomplicationsareless.Onthebasisofsummarizingalargenumberofresearchesonseminalvesiclesathomeandabroad,thispapermakesasystematicoverviewofseminalvesicles.Keywordshemospermia;seminalvesiculoscopy;complications近年来社会飞速发展,生活水平不断提高,男性的工作和生活压力也日益增加,各种男科疾病备受关注,其中血精症尤其是顽固性血精症的诊治得到重视。长久以来,精道疾病诊断主要依靠各种影像学检查,如超声和MRI,但因为诊断阳性率不高,难以满足临床需求。此外,传统治疗方法对部分顽固性患者效果欠佳,且复发率较高。随着科技进步,精囊镜在血精症诊治中逐步得到认可。...