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目的:探讨先天性精囊囊肿的诊断及治疗方法,提高精囊囊肿的诊断和治疗水平。方法:回顾性分析3例先天性精囊囊肿患者临床资料,年龄分别为43、47、53岁。经影像学检查后分别实行开放和腹腔镜手术治疗。结果:B超、CT及MRI均提示膀胱后方囊肿、左侧肾脏缺如,膀胱镜检未寻得左侧输尿管开口。1例行开放性精囊囊肿和左输尿管切除术,另2例行腹腔镜下精囊囊肿和左侧输尿管切除术。随访19～40个月,囊肿无复发。结论:精囊囊肿均伴有左侧肾脏缺如,与传统手术相比,腹腔镜手术因具有明显优点,应作为首选方式。
Objective: To investigate the diagnosis and treatment of congenital seminal vesicle cyst and to improve the diagnosis and treatment of seminal vesicle cyst. Methods: The clinical data of 3 patients with congenital seminal vesicle cysts were retrospectively analyzed. The ages were 43, 47 and 53 respectively. After the imaging examination were implemented open and laparoscopic surgery. Results: Ultrasonography, CT and MRI all showed cysts in the back of the bladder. The left kidney was absent. The left ureter opening was not found by cystoscopy. 1 cases of open seminal vesicle cyst and left ureter, the other 2 cases of laparoscopic seminal vesicle cyst and left ureter. Follow-up 19 to 40 months, no recurrence of cysts. Conclusion: All the seminal vesicle cysts are accompanied by the absence of the left kidney. Compared with traditional surgery, laparoscopic surgery should be the preferred method because of its obvious advantages.