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输精管复通术的临床研究:台湾地区60例单术者病例的结果

Clinical study of vasectomy reversal: results of 60 single-surgeon cases in Taiwan.

作者信息

Chiang H S

机构信息

Department of Urology, Taipei Medical College, Taiwan, ROC.

出版信息

J Formos Med Assoc. 1996 Nov;95(11):866-9.

PMID:8990775
Abstract

During a 10-year period, 60 men who had undergone vasectomy reversal were studied at Taipei Medical College Hospital. The age range of the patients was 28 to 67 years (average, 41.9 +/- 6.9 yr). Vasectomy had been performed between 3 months and 35 years previously (average, 8.6 +/- 6.1 yr). The most common reason for requesting a vasovasostomy was the desire to have children with a new partner (68.3%). However, psychological symptoms (16.7%) and the desire to have a boy (11.7%) were also prominent findings in this study. Of 38 men who had postoperative semen analyses, sperm was present in the semen in 32 (84.2%), and pregnancy occurred in 14 of 38 couples (36.8%) within the first year of follow-up. Repeat microsurgical reversal procedures were also promising, and of a total of eight patients who had repeat surgery, patency was established in five patients (62.5%).

摘要

在10年期间,台北医学院附属医院对60名接受输精管复通术的男性进行了研究。患者年龄范围为28至67岁(平均41.9±6.9岁)。输精管结扎术在3个月至35年前进行(平均8.6±6.1年)。要求进行输精管吻合术的最常见原因是希望与新伴侣生育子女(68.3%)。然而,心理症状(16.7%)和想要男孩的愿望(11.7%)也是本研究中的突出发现。在38名术后进行精液分析的男性中,32人(84.2%)精液中有精子,38对夫妇中有14对(36.8%)在随访的第一年内怀孕。重复显微外科复通手术也很有前景,在总共8名接受重复手术的患者中,5名患者(62.5%)实现了输精管通畅。

相似文献

1
Clinical study of vasectomy reversal: results of 60 single-surgeon cases in Taiwan.输精管复通术的临床研究:台湾地区60例单术者病例的结果
J Formos Med Assoc. 1996 Nov;95(11):866-9.
2
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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Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group.输精管吻合术研究小组进行的1469例显微外科输精管复通术的结果。
J Urol Nurs. 1992 Apr-Jun;11(2):93-111.
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Repeat vasectomy reversal after initial failure: overall results and predictors for success.首次输精管复通失败后再次进行输精管复通:总体结果及成功预测因素
J Urol. 1999 Apr;161(4):1153-6. doi: 10.1016/s0022-5347(01)61616-1.
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The fate of cryopreserved sperm acquired during vasectomy reversals.输精管复通术中获取的冷冻保存精子的命运。
J Urol. 1999 Feb;161(2):463-6.
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Results of 1,469 microsurgical vasectomy reversals by the Vasovasostomy Study Group.输精管吻合术研究小组进行的1469例显微外科输精管复通术的结果。
J Urol. 1991 Mar;145(3):505-11. doi: 10.1016/s0022-5347(17)38381-7.
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[Efficacy of microsurgical vasectomy reversal on patients after vasectomy].输精管结扎术后显微外科输精管复通术对患者的疗效
Beijing Da Xue Xue Bao Yi Xue Ban. 2013 Aug 18;45(4):597-9.
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Pregnancy rate after vasectomy reversal in a contemporary series: influence of smoking, semen quality and post-surgical use of assisted reproductive techniques.在当代系列中,输精管复通术后的妊娠率:吸烟、精液质量和手术后辅助生殖技术应用的影响。
BJU Int. 2012 Aug;110(4):562-7. doi: 10.1111/j.1464-410X.2011.10781.x. Epub 2012 Jan 5.
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What is the best pregnancy rate that may be expected from vasectomy reversal?输精管复通术预期的最佳妊娠率是多少?
J Urol. 1993 Jun;149(6):1469-71. doi: 10.1016/s0022-5347(17)36417-0.
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Microsurgical vasectomy reversal: ten-years' experience in a single institute.显微外科输精管复通术:单一机构的十年经验
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引用本文的文献

1
Association between the presence of sperm in the vasal fluid during vasectomy reversal and postoperative patency: a systematic review and meta-analysis.输精管复通术中输精管液中精子的存在与术后通畅性之间的关联:一项系统评价和荟萃分析。
Urology. 2015 Apr;85(4):809-13. doi: 10.1016/j.urology.2014.09.005. Epub 2015 Feb 16.
2
Microsurgical vasovasostomy.显微外科输精管-输精管吻合术。
Asian J Androl. 2013 Jan;15(1):44-8. doi: 10.1038/aja.2012.79. Epub 2012 Nov 12.