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目的探讨前列腺囊肿的诊断措施与腹腔镜的治疗经验。方法对3例B超、MRI诊断为前列腺囊肿的患者行腹腔镜下囊肿切除术。结果手术时间100～150min,出血约30～50ml,术后皮管引流2d,留置导尿管l～2周。所有患者随访3个月～1年,无尿路刺激症状,无排尿困难,阴茎勃起与射精正常。结论当囊肿靠近尿道及膀胱颈的后方时,腹腔镜切除囊肿具有组织显露清楚、不易损伤盆腔组织、创伤小、出血少等优点,是治疗此类前列腺囊肿的最佳途径。
Objective To explore the diagnosis of prostate cysts and laparoscopic treatment experience. Methods Laparoscopic cyst excision was performed in 3 patients with B-ultrasound and MRI diagnosed as prostrate cyst. Results The operation time was 100 ~ 150min, the bleeding was about 30 ~ 50ml, the postoperative drainage of the dermis was 2 days, the catheter was placed for l ~ 2 weeks. All patients were followed up for 3 months to 1 year, no urinary tract irritation, no dysuria, penile erection and ejaculation normal. Conclusion When the cyst is close to the back of the urethra and the bladder neck, laparoscopic resection of the cyst is the best way to treat such cyst with the advantages of clear tissue exposure, less damage to the pelvic tissue, less trauma and less bleeding.