摘要
目的探讨"套叠式"输精管附睾吻合术治疗梗阻性无精子症的疗效。方法在放大镜辅助下,对45例OA行纵向两针"套叠式"输精管附睾吻合术(LIVES),3个月后每月分析精液1次,随访配偶受孕率。结果术中发现梗阻部位在附睾管或近睾段输精管,双侧吻合36例,单侧吻合9例,40例随访超过6个月,35例超过12个月;29例(72.5%)术后3.1～6.6个月从精液中检出精子,其中7例(20%)配偶受孕成功。结论高倍镜下纵向两针"套叠式"输精管附睾吻合术,能够严密而准确地对合管腔,有利于提高输精管道复通率和配偶受孕率。
Objective To study the therapeutic effect of intussusception vasoepididy mostomy for the treatment of obstructive azoospermia（OA）. Methods A total of 45 patients with OA underwent loupe-assisted longitudinal 2-suture intussusceptive vasoepididymostomy（LIVES）. Three months after surgery, semen analysis were made once a month and the pregnancy rates their spouse of were followed. Results Obstructions in epididymal tubes or vas deferens on epididymal side were revealed in all the 45 cases. Bilateral LIVES was performed in 36 infertile men, unilateral LIVES in 9cases. Of the 45 cases, 40 cases had followup for more than 6 mounths and 35 for more than I year, tw＇enty-nine （72. 5%） having sperm return to the ejaculate 3.1 to 6.6 months after surgery and their spouse of 7cases （20%） achieved pregnancy. Conclusion Scrotal exploration can play the role of both diagnosis and treament of OA. Loupe-assisted LIVES, which allows for a more nice and water-tight anastomosis, can improve vas deferens patency outcomes and spouse pregnancy rates.
出处
《中国男科学杂志》
CAS
CSCD
2008年第4期50-52,共3页
Chinese Journal of Andrology
