[简化输精管吻合术的经验。过去5年结果回顾]
[Our experience with simplified vasovasostomy. Review of our results during the last 5 years].
作者信息
Ramada Benlloch Francisco Javier, de la Torre Abril Luis, Tramoyeres Galvañ Alfredo, Cánovas Ivorra Jose Antonio, Sánchez Ballester Francisco, Ordoño Domínguez Felipe, Navalón Verdejo Pedro, Zaragoza Orts Julio
机构信息
Hospital General Universitario de Valencia, Valencia, España.
出版信息
Arch Esp Urol. 2004 Jan-Feb;57(1):59-63.
OBJECTIVES
We currently see an increase of demand of vasectomy reversion, mainly due to the wish of recovering fertility.
METHODS
We review 21 cases of vasovasostomy performed at our department over the last 5 years with the single layer technique under optical magnification, comparing our results with those from bibliography for both vasovasostomy and in vitro fecundation techniques used in patients with obstructive azoospermia, specifically intracytoplasmic spermatozoids injection (ICSI).
RESULTS
Success rates obtained for permeability, pregnancy, and births were 80%, 33%, and 26.66% respectively.
CONCLUSIONS
Our results in terms of pregnancies are equivalent to those obtained by ICSI. These data, together with the disadvantage of greater rates of multiple pregnancies associated with in vitro fecundation techniques, moved us to choose vasovasostomy as the initial option for treatment of male infertility secondary to vasectomy.
目的
我们目前看到输精管复通术的需求有所增加，主要是由于恢复生育能力的愿望。
方法
我们回顾了过去5年在我们科室采用光学放大下单层技术进行的21例输精管吻合术病例，将我们的结果与文献中关于输精管吻合术以及用于梗阻性无精子症患者的体外受精技术（特别是卵胞浆内单精子注射术，即ICSI）的结果进行比较。
结果
通畅率、妊娠率和出生率分别为80%、33%和26.66%。
结论
我们在妊娠方面的结果与ICSI获得的结果相当。这些数据，再加上体外受精技术相关的多胎妊娠率较高的缺点，促使我们选择输精管吻合术作为输精管结扎术后男性不育治疗的初始选择。
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