改良显微输精管吻合的临床研究  

Clinical trial of an improved microsurgical technique for vasovasostomy

作　　者：钟伟[1] 祝志臻[1] 买铁军[1] 

机构地区：[1]北京煤炭总医院,北京100028

出　　处：《中国性科学》2008年第8期19-20,共2页Chinese Journal of Human Sexuality

摘　　要：目的:探讨改良显微镜下输精管吻合术的特点、临床效果与传统显微镜下输精管吻合术的比较。方法:对30例输精管结扎绝育术后,行改良显微输精管吻合术20例,传统吻合术10例,两组进行对比分析。结果:术后30例均得到随访,改良显微输精管吻合复通患者1月后,精液检出精子为100%,1年复育率为95%(20/19);传统精液检出精子为90%、复育率70%(10/7)。改良显微输精管吻合与传统显微输精管吻合的复通率P>0.05,复育率则P<0.05。结论:改良显微输精管吻合术比传统输精管吻合术的复通率无明显差异,而复育率两者有显著性差异。改良显微输精管吻合方式具有简便、快速、复育率高的优势。Objectives： To investigate the clinical effect of an improved microsurgical technique on vasovasostomy. Methods： Thirty patients who had experienced the vasectomy were performed vasovasostomy using an improved microsurgical technique （20 cases） and conventional method （10 cases）. Follow -up was made for all 30 patients after operation. Results： One month after surgery, the sperms can be detected in 100% patients in improved surgery group and 90% in conventional group. The reverse rate of the deferent duct is not significantly different between the two groups （P 〉 0. 05）. One year after surgery, the pregnancy rate is 95% （19/20） in improved group and 75% （7/10） in conventional group. The pregnancy rate is significantly different between the two groups （ P 〈 0. 05 ）. Conclusions ： Our improved microsurgical technique for vasovasostomy has the advantages of simplicity, shorter surgery time and higher pregnancy rate.

关 键 词：输精管 显微吻合术 改良 

分 类 号：R699.8[医药卫生—泌尿科学] R311[医药卫生—外科学]