缝外膜肠线支架减张输精管吻合术  

MACROSCOPIC VASOVASOSTOMY SUTURING THE EXTERNAL TUNICA OF VAS WITH CATGUT SPLINT TO RELIEVE TENSION

作　　者：陈在贤[1] 谯体义[1] 

机构地区：[1]重庆医科大学附一院泌尿外科

出　　处：《男性学杂志》1994年第2期95-99,共5页

摘　　要：本文报告一种在肉眼下行吻合的缝外膜肠线支架减张输精管吻合新方法.此法与外膜肌层法、全层不锈钢支架法和单纯全层法等对照地进行了动物实验及临床应用研究.自1980年3月以来,在临床上,上四法分别做了30、30、13及13例,术后分别随访到30、28、12及11例;其复精率分别是90%、82.1%、33、3%及27.3%;其复孕率分别是71.4%、60.7%、16.7%及0%.其结果显示,本法较其他肉眼下的输精管吻合法更加简便易行,效果满意.A new technique of macroscopic vasovasostomy was reported. The procedure was carried out by suturing only the tunica of both ends of the vas with catgut to splint and relieve tension (Groupl). This technique was compared with the following methods: tunica-muscular layer anastomosis without splint (Group2), whole layer anastomosis with stainless steel splint (Group 3) and whole layer anastomosis without splint (Group 4). The resu Its showed that the sperm appearance rates in the ejaculate in Group 1, 2, 3 and 4 were 90%, 82.1%, 33.3% and 27.3%, respectively, and the pregnancy rates of their partners were 71.4%, 60.7%, 16.7% and O, respectively. The data suggest that the Group 1 is the best in all four techniques.

关 键 词：输精管 吻合术 肠线支架 缝外膜 

分 类 号：R699.8[医药卫生—泌尿科学]