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输精管吻合术:四种手术技术的评估

Vasovasostomy: evaluation of four surgical techniques.

作者信息

Thomas A J, Pontes J E, Buddhdev H, Pierce J M

出版信息

Fertil Steril. 1979 Sep;32(3):324-8. doi: 10.1016/s0015-0282(16)44243-3.

DOI:10.1016/s0015-0282(16)44243-3
PMID:488414
Abstract

Four techniques of vasovasostomy were evaluated in two groups of twelve dogs each. In group 1, one side was anastomosed by a standard technique over a Silastic stent and the other side was anastomosed using a two-layer microsurgical technique. In group 2, one side was anastomosed by a standard technique without a stent and the other side was anastomosed using a one-layer microsurgical technique. Patency was evaluated by methylene blue injection distal to the anastomosis and was found to be about the same for all three groups in which anastomosis was performed without stents. The stented group had a high rate of obstruction. Histologic evaluation, however, showed superiority of both microsurgical techniques over each of the stnadard procedures.

摘要

在两组各12只狗身上评估了四种输精管吻合技术。在第1组中,一侧采用标准技术在硅橡胶支架上进行吻合,另一侧采用双层显微外科技术进行吻合。在第2组中,一侧采用无支架的标准技术进行吻合,另一侧采用单层显微外科技术进行吻合。通过在吻合口远端注射亚甲蓝来评估通畅情况,发现所有未使用支架进行吻合的三组通畅率大致相同。使用支架的组阻塞率较高。然而,组织学评估显示,两种显微外科技术均优于每种标准手术。

相似文献

1
Vasovasostomy: evaluation of four surgical techniques.输精管吻合术:四种手术技术的评估
Fertil Steril. 1979 Sep;32(3):324-8. doi: 10.1016/s0015-0282(16)44243-3.
2
Vasectomy and vasovasostomy. II. A comparison of two methods of vasovasostomy: silastic versus chromic stents.输精管切除术与输精管吻合术。II. 两种输精管吻合术方法的比较:硅橡胶支架与铬制支架。
Fertil Steril. 1976 Aug;27(8):945-50. doi: 10.1016/s0015-0282(16)42023-6.
3
Microsurgical vasovasostomy.
Eur Surg Res. 1981;13(4):299-309. doi: 10.1159/000128197.
4
Vasovasostomy-microscopy versus macroscopic techniques.输精管吻合术——显微镜技术与宏观技术对比
Arch Androl. 1981 Sep;7(2):201-4. doi: 10.3109/01485018108999308.
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Microsurgical two-layer vasovasostomy. Simplified technique using hinged, folding-approximating clamp.
Urology. 1980 Oct;16(4):376-81. doi: 10.1016/0090-4295(80)90142-9.
6
Microsurgical anastomosis of vas deferens: an experimental study in the rat.
Invest Urol. 1978 Mar;15(5):395-6.
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Modified technique for microsurgical vasovasostomy.显微外科输精管吻合术的改良技术。
Invest Urol. 1979 Jul;17(1):42-5.
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[Experience with microsurgical two-layer vasovasostomy].[显微外科双层输精管吻合术的经验]
Hinyokika Kiyo. 1983 Apr;29(4):385-93.
9
Urologic microsurgery--current perspectives: I. Vasovasostomy.泌尿外科显微手术——当前观点:I. 输精管吻合术
Urology. 1979 Oct;14(4):325-9. doi: 10.1016/0090-4295(79)90072-4.
10
Microsurgical vasovasostomy: an outpatient procedure under local anesthesia.显微外科输精管吻合术:一种在局部麻醉下的门诊手术。
J Urol. 1983 May;129(5):992-4. doi: 10.1016/s0022-5347(17)52504-5.

引用本文的文献

1
Reversal of vasectomy using a macroscopic technique: a retrospective study.采用宏观技术进行输精管复通术:一项回顾性研究。
Ann R Coll Surg Engl. 1997 Nov;79(6):420-2.
2
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.