机器人辅助输精管吻合术治疗梗阻性无精子症初步经验分析  

Robot-assisted microsurgery for obstructive azoospermia:Initial experience

作　　者：高旭[1] 宋瑞祥[1] 王海峰[1] 朴曙光[1] 王磊[1] 盛夏[1] 刘智勇[1] 孙颖浩[1] 

机构地区：[1]第二军医大学附属长海医院泌尿外科,上海200433

出　　处：《中华男科学杂志》2014年第10期894-897,共4页National Journal of Andrology

摘　　要：目的:探讨机器人辅助下输精管-输精管吻合术(RAVV)及机器人辅助下输精管-附睾管吻合术(RAVE)的可行性及手术技巧。方法:2013年5月和7月我院收治2例梗阻性无精子症患者,1例为输精管结扎患者,行RAVV术;1例为双侧附睾梗阻患者,行RAVE术。结果:2例手术均顺利完成,术后共随访9个月,2例患者均于术后6个月时在精液中发现精子,精子浓度分别为2.0×106/ml、66.0×106/ml。结论:RAVV及RAVE具有吻合确切、视野清楚等优点,可以选择作为治疗梗阻性无精子症的手术方式。Objective： To investigate the feasibility and techniques of robot-assisted microsurgical vasovasostomy（ RAVV） and vasoepididymostomy（ RAVE） for the treatment of obstructive azoospermia. Methods： Using the da Vinci Robot System,we treated 2cases of obstructive azoospermia,one caused by vasoligation and the other by bilateral testicular obstruction. The former underwent RAVV while the latter received RAVE. Results： Operations were successfully accomplished and postoperative follow-up lasted for 9months. At 6 months after surgery,semen analysis manifested sperm in both of the patients,with sperm concentrations of 2. 0 × 10^6/ml and 66. 0 × 10^6/ml,respectively. Conclusion： RAVV and RAVE,with their advantages of precise anastomosis and clear visual field,is a viable surgical alternative for obstructive azoospermia.

关 键 词：机器人 梗阻性无精子症 机器人辅助下输精管-输精管吻合术 机器人辅助下输精管-附睾管吻合术 

分 类 号：R698.2[医药卫生—泌尿科学]