Berger R E
Department of Urology, University of Washington, Seattle, USA.
J Urol. 1998 Jun;159(6):1951-3. doi: 10.1016/S0022-5347(01)63205-1.
A technique and the preliminary results of triangulation vasoepididymostomy are described.
Triangulation vasoepididymostomy is performed by placing 3 double-armed 10-zero nylon sutures into the epididymis so that each suture forms 1 side of a triangle. An opening in the tubule is made between the sutures and they are brought inside-out, invaginating the epididymal tubule into the vas deferens.
Triangulation end-to-side vasoepididymostomy was performed bilaterally in 12 men, and sperm was found in the postoperative ejaculate of 11 (92%). Operative time was 156 +/- 14 minutes.
Triangulation vasoepididymostomy is reasonably successful in restoring sperm to the ejaculate and should be considered as an alternative method of vasoepididymostomy.
描述一种三角吻合输精管附睾吻合术的技术及初步结果。
三角吻合输精管附睾吻合术通过将3根双臂10-0尼龙缝线置入附睾来完成，使每根缝线形成三角形的一条边。在缝线之间的小管上开口，然后将缝线由内向外穿出，使附睾小管内翻进入输精管。
12名男性双侧进行了三角端端输精管附睾吻合术，11例（92%）术后射精中发现精子。手术时间为156±14分钟。
三角吻合输精管附睾吻合术在使精子恢复至射精方面相当成功，应被视为输精管附睾吻合术的一种替代方法。
