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目的:探讨临床输精管吻合术的应用效果。方法:选取2013年1月~2015年12月在我院自愿行输精管结扎术患者30例,输精管结扎术后2-5年15例,6-9年的10例,10-12年5例,采用显微输精管吻合术治疗输精管结扎术后继发性不育症,探讨临床使用情况。结果:15例患者术后精子数量为3000~4000万/ml,占50%;10例在4100~6000万/ml,占33.3%;5例大于6000万/ml占16.7%。术后患者平均精子活力为1级占3.3%,2级占6.7%,3级占53.3%,4级占36.7%。30例患者中生育指数为0者占10%,生育指数为0~1者占23.3%,生育指数大于1者占66.7%。30例患者中精子复通率为29例,占96.7%。结论:采用显微输精管结扎术后继发性不育症,治疗中具有显著的临床效果,临床可以推广使用。
Objective: To investigate the clinical effect of vas deferens anastomosis. Methods: Thirty patients who underwent vasectomy in our hospital from January 2013 to December 2015 were selected, 15 cases were 2 to 5 years after vasectomy, 10 cases were 6 to 9 years, 5 cases were from 10 to 12 years. The use of micro-vas deferens anastomosis after vasectomy secondary sterility, to explore the clinical use. Results: The number of postoperative sperm in 15 patients was from 3000 to 40 million / ml, accounting for 50%; 10 cases were 4100 ~ 60 million / ml, accounting for 33.3%; and 5 cases were more than 60 million / ml accounting for 16.7%. The average postoperative sperm motility was grade 1 3.3%, grade 2 6.7%, grade 3 53.3%, grade 4 36.7%. Among 30 patients, fertility index was 0%, fertility index was 0 ~ 1, accounting for 23.3%, fertility index was greater than 1, accounting for 66.7%. Sperm in 30 patients, the rate of 29 cases, accounting for 96.7%. Conclusion: There are significant clinical effects in the treatment of secondary infertility after microvascularization ligation, which can be used clinically.