显微镜输精管附睾吻合术治疗梗阻性无精子症的效果  

EFFICACY OF MICROSURGICAL VASOEPIDIDYMOSTOMY IN TREATMENT OF EPIDIDYMAL OBSTRUCTIVE AZOOSPERMIA

作　　者：于磊[1] 王洪强[1] 李强[1] 荆涛[1] 王沛涛[1] 高耀武 李慎谦[1] YU Lei;WANG Hongqiang;LI Qiang;JING Tao;WANG Peitao;GAO Yaowu;LI Shenqian(Department of Andrology, The Affiliated Hospital of Qingdao University, Qingdao 266003, China)

机构地区：[1]青岛大学附属医院男性科,山东青岛266003

出　　处：《精准医学杂志》2020年第6期526-527,532,共3页Journal of Precision Medicine

基　　金：青岛市市南区科技发展资金项目(2018-4-017-YY)。

摘　　要：目的观察应用纵向两针套叠法显微镜输精管附睾吻合术治疗附睾梗阻性无精子症的效果。方法2016年1月—2019年12月,我院共收治附睾体尾部梗阻性无精子症患者50例,应用显微镜输精管附睾吻合术进行治疗,随访术后精液结果及受孕率。结果50例患者随访12~24个月,复通率为74.0%(37/50),自然受孕率为26.0%(13/50)。结论显微镜输精管附睾吻合术治疗附睾梗阻性无精子症效果确切,值得临床推广应用。Objective\To observe the efficacy of microsurgical double-needle vasoepididymostomy in the treatment of epididymal obstructive azoospermia.\Methods\From January 2016 to December 2019,50 patients with epididymal obstructive azoospermia were admitted to our hospital and treated by microsurgical vasoepididymostomy.Their semen outcome and natural pregnancy rate were followed up after operation.\Results\The 50 patients were followed up for 12-24 months;the overall recanalization rate was 74.0%(37/50),and the natural pregnancy rate was 26.0%(13/50).\Conclusion\Microsurgical vasoepididymostomy is effective in the treatment of epididymal obstructive azoospermia and holds promise for clinical application.

关 键 词：吻合术 外科 附睾 输精管 无精子症 显微外科手术 治疗结果 

分 类 号：R698.2[医药卫生—泌尿科学] R615[医药卫生—外科学]