Pontonnier F, Mansat A, Monrozies X, Plante P
J Gynecol Obstet Biol Reprod (Paris). 1979 Jun;8(4):353-7.
The authors report their statistical results of 40 subjects that were explored and where double epididymo-deferens anastomoses were achieved. They found that there were associated conditions which worsened the prognosis, namely: stenosis of the genital tracts and broncho-pulmonary infections. On the other hand stenosis of the genital tracts associated with varicocoele gave a better prognosis. Permeability was achieved in 40 p. 100 of cases. Six pregnancies occured from 33 patients who were followed up with post-operative spermograms. The following treatments are useful if added to the surgical treatment: gonadotrophins, corticoids and antibiotics. They point out that surgical cure is much more likely when varicocoele is associated.
作者报告了40例接受探查并成功进行双侧附睾输精管吻合术患者的统计结果。他们发现存在一些会使预后恶化的相关情况,即:生殖道狭窄和支气管肺部感染。另一方面,伴有精索静脉曲张的生殖道狭窄预后较好。40%的病例实现了通畅。在33例术后接受精液分析随访的患者中,有6例怀孕。如果在手术治疗基础上添加以下治疗方法会有帮助:促性腺激素、皮质类固醇和抗生素。他们指出,当伴有精索静脉曲张时,手术治愈的可能性要大得多。