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输精管复通术。475例显微外科输精管吻合术的回顾。

Vasectomy reversal. Review of 475 microsurgical vasovasostomies.

作者信息

Owen E, Kapila H

出版信息

Med J Aust. 1984 Mar 31;140(7):398-400. doi: 10.5694/j.1326-5377.1984.tb108097.x.

DOI:10.5694/j.1326-5377.1984.tb108097.x
PMID:6700508
Abstract

Over a 10-year period, routine vasectomies were reversed, and a very high rate of return of patency and potency was obtained in a series of 475 patients. The patients who presented for the reversal of vasectomy were, on average, about 33 years of age and had undergone vasectomy five years previously. An original, meticulous, microsurgical technique enabled the return of sperms to the ejaculate in over 90% of patients; the subsequent pregnancy rate in their spouses was over 82% in the first two years after the operation. The reversal of routine vasectomies which have been performed in the mid-scrotal area, at least 3 cm away from the epididymis, has the best chance of success; damage to the epididymis may preclude the reconstructive procedure.

摘要

在10年期间,对常规输精管切除术进行了逆转,在475例患者中获得了非常高的通畅率和恢复生育能力的比率。前来进行输精管复通术的患者平均年龄约33岁,输精管切除术是在5年前进行的。一种独创、精细的显微外科技术使超过90%的患者精液中重新出现精子;术后头两年其配偶的受孕率超过82%。在阴囊中部距附睾至少3厘米处进行的常规输精管切除术的逆转成功率最高;附睾受损可能使重建手术无法进行。

相似文献

1
Vasectomy reversal. Review of 475 microsurgical vasovasostomies.输精管复通术。475例显微外科输精管吻合术的回顾。
Med J Aust. 1984 Mar 31;140(7):398-400. doi: 10.5694/j.1326-5377.1984.tb108097.x.
2
Vasectomy reversal--microsurgery for best results.输精管复通术——显微手术以求最佳效果。
Br J Urol. 1994 Apr;73(4):449-53. doi: 10.1111/j.1464-410x.1994.tb07613.x.
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Experience with macroscopic vasectomy reversal at the Medical College of Wisconsin.威斯康星医学院的宏观输精管复通术经验。
Wis Med J. 1994 Mar;93(3):107-9.
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Microsurgical vasovasostomy for reversal of elective bilateral segmental vasectomy.显微外科输精管吻合术用于选择性双侧节段性输精管结扎逆转。
South Med J. 1985 Aug;78(8):967-9. doi: 10.1097/00007611-198508000-00019.
5
Vasectomy reversal: experience in Ramathibodi Hospital, Thailand.输精管复通术:泰国拉玛蒂博迪医院的经验
J Med Assoc Thai. 1982 May;65(5):240-5.
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Microsurgical vasovasostomy: a reliable vasectomy reversal.显微外科输精管吻合术:一种可靠的输精管复通术。
Aust N Z J Surg. 1977 Jun;47(3):305-9. doi: 10.1111/j.1445-2197.1977.tb04294.x.
7
Vasectomy reversal by microsurgery.显微外科输精管复通术
Practitioner. 1993 Jun;237(1527):472-6.
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Vasectomy reversal: use of microsurgical technique.
J S C Med Assoc. 1982 Feb;78(2):90-1.
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Laser-assisted vasectomy reversal: experience in 32 patients.
J Urol. 1990 Mar;143(3):528-9; discussion 529-30. doi: 10.1016/s0022-5347(17)40009-7.
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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.

引用本文的文献

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Simplifying vasectomy reversal without compromising outcomes: a single-surgeon series.简化输精管复通术且不影响手术效果:单术者系列研究
Transl Androl Urol. 2024 Jul 31;13(7):1173-1179. doi: 10.21037/tau-23-604. Epub 2024 Jul 4.
2
[45 years of microsurgery in urology : Contemporary witnesses report with special reference to vasectomy reversal].泌尿外科显微外科45年:当代见证者报告,特别提及输精管复通术
Urologe A. 2020 Dec;59(12):1523-1540. doi: 10.1007/s00120-020-01292-9.