张泓 梁学志 张雁钢 米振国 王东文 刘尚莹 刘春 路喜安 030001 太原，山西医科大学第一医院泌尿外科(张泓、张雁钢、米振国、王东文、刘尚莹、刘春、路喜安)；山西省肿瘤医院泌尿外科(梁学志) 中华泌尿外科杂志 1999 0 20 7


    关键词：尿道肿瘤，腺瘤；前列腺特异抗原；免疫组织化学 期刊 zhmnwkzz 0 论著 fur -->


    

【摘要】 目的 探讨后尿道腺瘤的临床诊断与治疗。 方法 对121例后尿道腺瘤患者的临床及病理资料进行回顾性分析并随访。28例作PSA免疫组化染色。 结果 平均年龄36.4岁。主要就诊原因：血精59例(48.8%)，肉眼血尿47例(38.8%)。28例PSA免疫组化染色均为强阳性。经手术治疗的103例，其中74例获得随访者均痊愈。 结论 后尿道腺瘤是中青年男性血精、血尿的常见原因之一。直视下尿道镜检查是发现此病的重要手段，常规病理检查结合免疫组化染色是确诊的依据。治疗应选择经尿道电切或电凝术。

Adenoma of the posterior urethra (report of 121 cases)

ZHANG Hong,LIANG Xuezhi,ZHANG Yangang,et al.

    Department of Urology,1st Affiliated Hospital of Shanxi Medical University,Taiyuan 030001

【Abstract】 Objective To study the clinical feature,diagnosis and treatmen of posterior urethral adenoma. Methods 121 cases of posterior urethral adenoma have been followed up and studied retrospecti-vely.PSA immunohistochemical staining was carried out in 28 cases. Results Mean age of the patients was 36.4 years.59(48.8%) cases presented with hemospermia and 47 (38.8%) with hematuria.All the tumour samples from the 28 cases were postively stained for PSA on immunohistochemical study.74 out of 103 operated cases have been followed up and have been all recovered. Conclusions Adenoma of the posterior urethra is a common cause of hemospermia and hematuria in young male adult.Cystourethroscopic examination and biopsy under direct vision plays the main role in detecting the disease.The diagnosis is confirmed on pathological and immunohistochemical study.The suggested treatment is cautious endoscopic coagulation or resection.

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