输精管滤过装置节育术后并发症（附4例异位报告）  

Vas device contraception postoperative complications：report of 4 cases ectopic

作　　者：陶晓海 刘瑞华 孙彬桂 袁玉枝 刁伟坚 

机构地区：[1]广州市人口和计划生育科研所男科,广州510410

出　　处：《中国男科学杂志》2014年第3期40-43,47,共5页Chinese Journal of Andrology

摘　　要：目的：探讨输精管滤过装置（IVD）异位的临床特点、影像学特征，以及对今后研究的指导意义。方法输精管滤过装置（IVD）发生异位男性患者4例，平均年龄40岁。3例临床表现为肉眼血精，经影像学检查确定IVD移位至盆腔，另1例无任何临床表现。1例行手术探查，1例行精囊镜检查。结果1例行精囊镜检查，术中双侧精囊内均未找到IVD；1例行阴囊探查＋美蓝液输精管通液检查，双侧均未找到IVD，行输精管吻合术，术后6个月女方妊娠；另2例行保守治疗。结论输精管滤过装置（IVD）发生异位虽然少见，但可能出现比较严重的并发症，影像学检查是其诊断的重要手段，X线是其首选检查方法。发生异位的原因主要是IVD固定出现问题，如何解决IVD的固定问题，将直接影响其在临床上的应用。Objective To investigate the clinical and radiological features of ectopic intra vas device （IVD）, and the significance for future study. Methods Four cases with ectopic intra vas device （IVD） were found, and their average age was 40 years old. Three cases of them had clinical manifestations of hemospermia, imaging examination proved the translocation of IVD into the pelvic cavity, and the other patient had no clinical manifestation. One cases underwent operation, and the other cases received seminal vesicle examination. Results The IVD were not found in bilateral seminal vesicle of the patient who underwent seminal vesicle examination, the same result for the patient who underwent scrotal exploration ＋ Meilan liquid liquid through examination of bilateral vas deferens, The latter patient received a vasectomy, whose wife had pregnancy after 6 months later. The other 2 cases underwent conservative treatment. Conclusion The ocurrence of ectopic intra vas device （IVD） is rare, but the serious complications is often seen. X ray examination is the first choice for diagnosis of this disease. Fixing problems is the main reason for IVD ocurrence. How to solve the problem of fixing IVD will directly affect its clinic application.

关 键 词：输精管 避孕器械  男用 手术后并发症 

分 类 号：R169.4[医药卫生—公共卫生与预防医学]