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本文引用的文献

1
Unilateral absence of vas deferens: prevalence among 23.013 men seeking vasectomy.单侧输精管缺如：23013名寻求输精管结扎术男性中的患病率。
Int Braz J Urol. 2016 Sep-Oct;42(5):1010-1017. doi: 10.1590/S1677-5538.IBJU.2015.0717.
2
The spectrum of renal involvement in male patients with infertility related to excretory-system abnormalities: phenotypes, genotypes, and genetic counseling.与排泄系统异常相关的男性不育患者的肾脏受累谱：表型、基因型及遗传咨询
J Nephrol. 2017 Apr;30(2):211-218. doi: 10.1007/s40620-016-0286-5. Epub 2016 Mar 5.
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Congenital unilateral solitary kidney: report of 37 cases and a review of the literature.先天性单侧孤立肾：37例报告及文献复习
Urol Surv. 1961 Dec;11:219-29.
4
Congenital bilateral absence of the vas deferens: clinical characteristics, biological parameters, cystic fibrosis transmembrane conductance regulator gene mutations, and implications for genetic counseling.先天性双侧输精管缺如：临床特征、生物学参数、囊性纤维化跨膜传导调节因子基因突变及遗传咨询的意义
Fertil Steril. 2000 Dec;74(6):1164-74. doi: 10.1016/s0015-0282(00)01625-3.
5
Clinical findings in congenital absence of the vasa deferentia.
Andrologia. 2000 Jan;32(1):13-8.
6
Urogenital anomalies in men with congenital absence of the vas deferens.先天性输精管缺如男性的泌尿生殖系统异常
J Urol. 1996 May;155(5):1644-8.
7
Effectiveness of crossover transseptal vasoepididymostomy in treating complex obstructive azoospermia.交叉经中隔输精管附睾吻合术治疗复杂性梗阻性无精子症的疗效
Fertil Steril. 1995 Feb;63(2):392-5. doi: 10.1016/s0015-0282(16)57374-9.
8
Mutations in the cystic fibrosis gene in patients with congenital absence of the vas deferens.先天性输精管缺如患者囊性纤维化基因的突变。
N Engl J Med. 1995 Jun 1;332(22):1475-80. doi: 10.1056/NEJM199506013322204.
9
Unilateral absence of the vas deferens. A useful clinical sign.
JAMA. 1989 Feb 24;261(8):1180-2.

先天性单侧输精管缺如伴对侧睾丸萎缩。

Congenital unilateral absence of vas deferens with contralateral testicular atrophy.

作者信息

Alferayan Turki A, Abumelha Saad M, Al Subayyil Mazen S, Al Asmari Bader M, Al Nahas Talal M

机构信息

College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.

Department of Surgery, Ministry of National Guard Health Affairs, King Abdulaziz Medical City, Riyadh, Saudi Arabia.

出版信息

Urol Ann. 2020 Jan-Mar;12(1):101-102. doi: 10.4103/UA.UA_155_18. Epub 2019 Nov 7.

DOI:10.4103/UA.UA_155_18
PMID:32015630
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6978976/
Abstract

We present a case report of a 25-year-old obese man complaining of primary infertility for 2 years. After a thorough examination and investigation were done, he had congenital unilateral absence of vas deferens with ipsilateral renal agenesis and a palpable vas deferens in the contralateral side with testicular atrophy. Semen analysis showed low semen volume (0.5 mL) with azoospermia. Hence, a scrotal exploration and a crossover transseptal vasoepididymostomy to relocate the vas deferens were done. After 6 months, the sperm concentration reached 5 × 10/mL with good motility (40%) and volume (1.5 mL).

摘要

我们报告一例25岁肥胖男性的病例，该患者主诉原发性不孕2年。在进行全面检查和调查后，发现他先天性单侧输精管缺如并同侧肾缺如，对侧输精管可触及但睾丸萎缩。精液分析显示精液量少（0.5毫升）且无精子症。因此，进行了阴囊探查和交叉经隔输精管附睾吻合术以重新定位输精管。6个月后，精子浓度达到5×10/mL，活力良好（40%），精液量为1.5毫升。