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输精管吻合术中精子的不良影响。

The adverse effects of sperm during vasovasostomy.

作者信息

Hagan K F, Coffey D S

出版信息

J Urol. 1977 Aug;118(2):269-73. doi: 10.1016/s0022-5347(17)57971-9.

DOI:10.1016/s0022-5347(17)57971-9
PMID:330887
Abstract

The 119 non-splinted vasovasostomies that were performed on 95 rats demonstrated that sperm granulomas were present in 99 per cent of the 49 anastomoses that failed. Anastomoses performed on vasa that contained no sperm resulted in 95 per cent patency without granulomas. This procedure was accomplished in immature animals followed to adulthood or by testosterone suppression of spermatogenesis in adult rats. Alternatively, normal adults with sperm in the vasa were irrigated with normal saline at the time of vasovasostomy and this resulted in decreased numbers of granuloma and dramatically improved success rates. Sperm granuloma formation appears to be an important cause of failure of vasovasostomy in the rat.

摘要

对95只大鼠进行的119例未用夹板固定的输精管吻合术表明,在49例失败的吻合术中,99%出现了精子肉芽肿。在不含精子的输精管上进行吻合术,通畅率为95%,且无肉芽肿形成。该操作可在未成熟动物中进行并追踪至成年,或通过抑制成年大鼠的精子生成来实现。另外,对输精管中有精子的正常成年大鼠在输精管吻合术时用生理盐水冲洗,这导致肉芽肿数量减少,成功率显著提高。精子肉芽肿的形成似乎是大鼠输精管吻合术失败的一个重要原因。

相似文献

1
The adverse effects of sperm during vasovasostomy.输精管吻合术中精子的不良影响。
J Urol. 1977 Aug;118(2):269-73. doi: 10.1016/s0022-5347(17)57971-9.
2
Effects of granuloma formation at site of vasovasostomy.输精管吻合术部位肉芽肿形成的影响。
J Urol. 1988 Apr;139(4):853-6. doi: 10.1016/s0022-5347(17)42661-9.
3
Vasovasostomy in the rat. Improved technique using absorbable microsuture (polyglycolic acid).大鼠输精管吻合术。使用可吸收微缝线(聚乙醇酸)的改良技术。
Urology. 1982 Oct;20(4):418-21. doi: 10.1016/0090-4295(82)90469-1.
4
Relationship of gross appearance of vas fluid during vasovasostomy to sperm quality, obstructive interval and sperm granuloma.
J Urol. 1984 Apr;131(4):681-3. doi: 10.1016/s0022-5347(17)50578-9.
5
Intraoperative observations during vasovasostomy in 334 patients.334例输精管吻合术的术中观察
J Urol. 1983 Mar;129(3):524-7. doi: 10.1016/s0022-5347(17)52215-6.
6
Vasovasostomy with use of medical needle as a support.使用医用针作为支撑的输精管吻合术。
J Urol. 1988 Jan;139(1):53-4.
7
Vasectomy and its microsurgical reversal.输精管切除术及其显微外科逆转术。
Urol Clin North Am. 1978 Oct;5(3):573-84.
8
Complications of vasovasostomy.输精管吻合术的并发症。
Urol Clin North Am. 1988 May;15(2):243-8.
9
A new method for suppressing sperm granuloma formation in the vasectomized rat.一种抑制输精管结扎大鼠精子肉芽肿形成的新方法。
Fertil Steril. 1974 Mar;25(3):276-9. doi: 10.1016/s0015-0282(16)40276-1.
10
Laser-assisted vasal anastomosis in the rat and man.大鼠和人类的激光辅助输精管吻合术。
J Urol. 1986 Nov;136(5):1132-5. doi: 10.1016/s0022-5347(17)45238-4.

引用本文的文献

1
Modified one-layer microsurgical vasovasostomy in vasectomized patients.输精管结扎术后患者的改良单层显微外科输精管吻合术
Int Urol Nephrol. 1995;27(4):451-6. doi: 10.1007/BF02550083.
2
Microsurgical anastomosis of vas deferens by a telescopic technique.
Urol Res. 1987;15(4):243-4. doi: 10.1007/BF00262108.