摘要
医原性输精管损伤是指由外科手术等医疗活动引起的输精管损伤 ,通常只有在婚后无精子、不育时才有可能被诊断。因睾丸及精道的对称性 ,手术及其损伤大多为单侧而不影响生育。因此 ,损伤的发生率远高于诊断率。现就医原性输精管损伤的分类、损伤的解剖基础及预防措施、诊断和治疗中的难题及对策进行讨论。尽管重建术后的复精、复妊娠率较男性输精管结扎再通低 ,但大多数学者仍主张外科重建以提高生活质量。在重建中 ,着重介绍了不经内环 ,而经外环 ,裁弯取直 ,缩短输精管行程重建的新技术。
The injury to vas deferens from surgical operations, such as inguinal hernia, may not be diagnosed until infertility raised after marriage. Because operations or injuries are often unilateral, but the testis and seminal tract are double, it is certain that the rate of diagnosis of injury to vas deferens is lower than actual morbidity. The paper discussed the related anatomy and some diffcult problems in diagnosis and treatment. Although the success rate of vasal reconstruction is lower than those achieved after vasectomy reversal, the operation is worthwhile for improvement of patients' life quality. A new technique for vasovasostomy in reconstruction is recommended by varying the way of vas deferens to shorten its length and get successful reanastomosis.
出处
《中华男科学杂志》
CAS
CSCD
2001年第4期243-245,共3页
National Journal of Andrology
关键词
输精管
医原性损伤
重建术
Vas deferens
Iatrogenic injury
Reconstruction
