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输精管复通术

Reversal of vasectomy.

作者信息

Jenkins I L, Blacklock N J

出版信息

Int J Gynaecol Obstet. 1979 Sep-Oct;17(2):144-7. doi: 10.1002/j.1879-3479.1979.tb00138.x.

DOI:10.1002/j.1879-3479.1979.tb00138.x
PMID:41760
Abstract

Vasovasostomy to reverse a previous vasectomy for sterilization was attempted for 27 men, the procedure being technically impossible in only one case. A testicular biopsy was performed at the time of operation and a number were investigated for cell-mediated immunity to sperm and for the presence of circulating sperm-agglutinating and cytotoxic antibodies. The first 17 cases have been studied and of these there have been 11 pregnancies, ten of which have already come to term with the birth of normal infants, including one set of twins. Of the rest, two are known to have oligozoospermia and four have been lost to follow-up, although two of them were euspermic when last examined. In spite of these encouraging results, it is considered that there are no grounds for alterning the present basis of vasectomy counseling which is that the operation is likely to be irreversible.

摘要

对27名男性尝试进行输精管吻合术以逆转先前的绝育输精管切除术,仅1例在技术上无法进行该手术。手术时进行了睾丸活检,一些人还针对精子的细胞介导免疫以及循环精子凝集和细胞毒性抗体的存在进行了调查。已对前17例病例进行了研究,其中有11例怀孕,其中10例已足月并产下正常婴儿,包括一对双胞胎。其余病例中,已知2例患有少精子症,4例失访,尽管其中2例在最后一次检查时精子正常。尽管有这些令人鼓舞的结果,但仍认为没有理由改变目前输精管切除术咨询的依据,即该手术可能是不可逆的。

相似文献

1
Reversal of vasectomy.输精管复通术
Int J Gynaecol Obstet. 1979 Sep-Oct;17(2):144-7. doi: 10.1002/j.1879-3479.1979.tb00138.x.
2
Experience wiht vasovasostomy: operative technique and results.输精管吻合术的经验:手术技术与结果
Br J Urol. 1979 Feb;51(1):43-5. doi: 10.1111/j.1464-410x.1979.tb04243.x.
3
Factors influencing the outcome of vasectomy reversal.影响输精管复通术结果的因素。
Br J Urol. 1980 Feb;52(1):57-60. doi: 10.1111/j.1464-410x.1980.tb02920.x.
4
Consequences of vasectomy: an immunological and histological study related to subsequent fertility.输精管切除术的后果:一项与后续生育能力相关的免疫学和组织学研究。
Br J Urol. 1979 Oct;51(5):406-10. doi: 10.1111/j.1464-410x.1979.tb02898.x.
5
Vasectomy and vasectomy reversal.输精管切除术及输精管复通术。
Br J Urol. 1994 Apr;73(4):337-44. doi: 10.1111/j.1464-410x.1994.tb07592.x.
6
Microsurgical reversal of vasectomy.输精管切除术的显微外科逆转术。
Am J Surg. 1981 Jul;142(1):48-50. doi: 10.1016/s0002-9610(81)80010-4.
7
An overview of male sterilization.男性绝育概述。
Taehan Pinyogikwa Hakhoe Chapchi. 1976 Mar;17(1):49-62.
8
Low fertility rate in vasovasostomized males and its possible immunologic mechanism.输精管吻合术后男性的低生育率及其可能的免疫机制。
Int J Fertil. 1975;20(3):183-91.
9
Reversal of vasectomy: the effects of sperm antibodies on subsequent fertility.输精管复通术:精子抗体对后续生育能力的影响。
Br J Urol. 1981 Dec;53(6):654-9. doi: 10.1111/j.1464-410x.1981.tb03284.x.
10
What is the best pregnancy rate that may be expected from vasectomy reversal?输精管复通术预期的最佳妊娠率是多少?
J Urol. 1993 Jun;149(6):1469-71. doi: 10.1016/s0022-5347(17)36417-0.

引用本文的文献

1
Vasectomy Regret or Lack Thereof.输精管切除术的后悔与否。
Health Psychol Res. 2022 Sep 15;10(3):38241. doi: 10.52965/001c.38241. eCollection 2022.
2
Who asks for vasectomy reversal and why?谁会要求进行输精管复通术,原因是什么?
Br Med J (Clin Res Ed). 1982 Aug 14;285(6340):490-2. doi: 10.1136/bmj.285.6340.490.