附睾输精管吻合术治疗病理性附睾梗阻20年经验

A 20-year experience with epididymovasostomy for pathologic epididymal obstruction.

作者信息

Lee H Y

出版信息

Fertil Steril. 1987 Mar;47(3):487-91. doi: 10.1016/s0015-0282(16)59060-8.

Abstract

A total of 255 patients of 281 patients with side-to-side epididymovasostomy for postpathologic epididymal obstruction were followed from 1964 to 1983. The success rates were higher in patients with nontuberculous epididymitis than in those with tuberculous epididymitis. There were no significant differences among anastomotic levels of the epididymal incision. The success rates were 31% for patency and 12% for pregnancy in the 97 patients with macrosurgery and 37% for patency and 20% for pregnancy in the 158 with microsurgery. The causes of anatomic failure were scar formation at the anastomotic site and blockage of opening of the original epididymal tubule. The cause of functional failure was poor semen quality after epididymovasostomy.

摘要

1964年至1983年期间，对281例行附睾输精管端端吻合术治疗病理性附睾梗阻的患者中的255例进行了随访。非结核性附睾炎患者的成功率高于结核性附睾炎患者。附睾切口的吻合水平之间无显著差异。97例接受宏观手术的患者中，通畅率为31%，妊娠率为12%；158例接受微观手术的患者中，通畅率为37%，妊娠率为20%。解剖学失败的原因是吻合部位瘢痕形成和原附睾管开口阻塞。功能失败的原因是附睾输精管吻合术后精液质量差。