Silber S J
Fertil Steril. 1978 Nov;30(5):565-71.
A new microscopic technique for vasoepididymostomy is described. Conventional approaches to epididymal obstruction rely on the formation of a fistulous tract after the walls of the vas deferens are grossly sutured to the outer tunic of the epididymis; such methods have a low success rate. With a direct and accurate end-to-end anastomosis of the inner lumen of the vas deferens specifically to the epididymal tubule there is a greater likelihood of normal patency. Furthermore, such an anastomosis can be performed at the lowest possible level of the epididymis, allowing a greater opportunity for sperm maturation.
本文描述了一种用于输精管附睾吻合术的新型显微技术。传统的附睾梗阻治疗方法是在输精管壁与附睾外膜进行大致缝合后形成瘘管；这些方法成功率较低。通过将输精管内腔直接准确地与附睾小管进行端端吻合，恢复通畅的可能性更大。此外，这种吻合可以在附睾的最低位置进行，为精子成熟提供了更多机会。
