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目的观察横向双针套叠显微输精管附睾管吻合术治疗梗阻性无精症的临床效果。方法我科自2007年5月至2007年12月选择6例确诊为梗阻性无精子症并证实为附睾水平梗阻的患者行横向双针套叠附睾管输精管吻合,即以10-0双针尼龙线在附睾管上横向缝合两针,将针以内进外出方式穿过输精管壁,然后在两针之间以显微刀横向切开附睾管,证实有精子后打结,8-0尼龙线缝合附睾浆膜和输精管肌层,术后随访6～13个月。结果4例术后精液分析可见精子,其中1例精液分析结果正常者生育一女;1例表现为少精症;2例表现为弱精症。手术成功率66.7%(4/6)。结论横向双针套叠显微输精管附睾管吻合术操作相对简单,疗效满意,不失为一种值得推广的阻性无精症治疗技术。
Objective To observe the clinical effect of transversal double-needle telescopic micro-vas deferens epididymal tube anastomosis in the treatment of obstructive azoospermia. Methods From May 2007 to December 2007, we selected 6 patients diagnosed as obstructive azoospermia and confirmed as epididymal horizontal occlusion of patients with transverse double-needle telescoping of the testis vas deferens anastomosis, which is 10-0 double needle nylon Line in the epididymal tube transverse suture needle, the needle in and out of the way through the vas deferens wall, and then between the two needle with a micro-knife transverse cut epididymis tube, confirmed sperm after the knot, 8-0 nylon suture Epididymis serosa and sperm layer, followed up for 6 to 13 months. Results Four cases of postoperative sperm analysis revealed sperm, of which 1 case of normal semen analysis gave birth to a woman; 1 case showed oligozoospermia; 2 cases showed asthenospermia. The success rate of surgery was 66.7% (4/6). Conclusion Lateral double-needle telescopic microvasculature of the epididymal tube anastomosis operation is relatively simple, with satisfactory results, after all, is a worthy of promotion of azoospermia treatment technology.