Xu Y M, Wu P, Cai P C, Cheng Z C
Department of Urology, Shanghai Sixth Hospital, China.
J Urol. 1988 Mar;139(3):596-8. doi: 10.1016/s0022-5347(17)42539-0.
To our knowledge there has been no report to date of successful testis replantation after complete traumatic severance of the funiculus within the scrotum. We report a case in which both funiculi were cut completely (one of which was severed 0.8 cm. proximal to the upper pole of the testis, and the other just at the junction of the funiculus and the testis). We successfully rejoined the testis with the funicular stump to the proximal cut end of the right side using a microsurgical technique. The total ischemia period of the replanted testis was 6 hours. The penis was erect 4 days postoperatively and blood testosterone level was within the normal range. At testicular biopsy 120 days postoperatively the germ cells could be seen in various stages of development and the appearance of the Leydig cells was normal.
据我们所知，迄今为止尚无阴囊内精索完全外伤性离断后成功进行睾丸再植的报道。我们报告一例双侧精索均被完全切断的病例（其中一侧在睾丸上极近端0.8厘米处离断，另一侧恰好在精索与睾丸交界处离断）。我们采用显微外科技术成功地将睾丸与精索残端重新连接至右侧近端断端。再植睾丸的总缺血时间为6小时。术后4天阴茎勃起，血睾酮水平在正常范围内。术后120天睾丸活检可见处于不同发育阶段的生殖细胞，间质细胞外观正常。
