梗阻性无精症的外科治疗进展  

Surgical progress of the treatment of obstructive azoospermia

作　　者：范帅[1] 曹伟[1] 曲海明[1] 初茂林[1] 张春影[1] 

机构地区：[1]哈尔滨医科大学附属第二医院泌尿外科,哈尔滨150000

出　　处：《中国医师杂志》2017年第5期795-798,共4页Journal of Chinese Physician

摘　　要：当今，随着科学技术，医学的飞速发展，梗阻性无精症的检测率逐渐增高，临床上并非少见。梗阻性无精症的外科治疗手段也是在逐步提高，由传统的输精管输精管吻合、输精管附睾吻合到显微镜下输精管输精管吻合、输精管附睾吻合，由三针套叠到两针横向套叠，到纵向套叠，再到国人改良逆向单针吻合，最后到机器人辅助下吻合，使得吻合对位更加精准，复通率与致孕率有了革命性改善，相信机器人的时代即将到来。文章重点介绍梗阻性无精症的外科治疗手段，对比各个手术的优缺点，预测未来发展方向。Nowadays, with the rapid development of science and technology of medicine, the detec- tion rate of obstructive azoospermia increased gradually, clinically not uncommon. Surgical treatment of ob- structive azoospermia is also improved from traditional vasovasostomy and epididymovasostomy to microsurgi- cal vasovasos-tomy and microsurgical va-soepididymostomy, and from 3-suture intussusception vasoepididy- mostomy to 2-suture intussusception vasoepididymostomy, then our modified reverse single needle anastomo- sis, and finally to the robot assisted anastomosis. Therefore, the anastomosis is more precise, the recanali- zation rate and the pregnancy rate have a revolutionary improvement. The robot era is coming. The article focuses on surgical treatment of obstructive azoospermia, comparison of the advantages and disadvantages of each operation, and prediction of the future direction of development.

关 键 词：无精子症/外科学 综述 

分 类 号：R699.8[医药卫生—泌尿科学]