Altarac S
Department of Urology, University Hospital Rebro, Zagreb, Croatia.
J Urol. 1993 Nov;150(5 Pt 1):1507-8. doi: 10.1016/s0022-5347(17)35828-7.
A case is reported of amputation of the testis, which was reattached to the stump of the severed spermatic cord using a microsurgical technique and local hypothermia. Total ischemia time was 4 hours and 20 minutes, including 3 hours for warm ischemia. Ultrasonography of the replanted testis 6 months postoperatively showed a homogeneous parenchymal echo pattern and color-coded duplex sonography confirmed normal blood flow. Semen analysis and serum testosterone level were normal. A biopsy of the replanted testicle revealed active spermatogenesis and a normal number of Leydig cells.
报告了一例睾丸切断后再植的病例，采用显微外科技术和局部低温将睾丸重新附着于切断的精索残端。总缺血时间为4小时20分钟，其中热缺血时间为3小时。术后6个月对再植睾丸进行超声检查，显示实质回声均匀，彩色编码双功超声检查证实血流正常。精液分析和血清睾酮水平正常。对再植睾丸进行活检，显示有活跃的精子发生，且间质细胞数量正常。
