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目的报道附睾梗阻性无精子症的治疗方法和临床效果。方法改良传统的输精管附睾管端侧吻合术,纵向切开附睾管,将附睾管套叠进入输精管腔中,纵向缝合2针的吻合法。结果临床应用20例,随访结果表明,复通率90%,致孕率55%。结论改良的显微输精管附睾管端侧套叠吻合术,在复通率和致孕率方面优于传统的端侧吻合法,而且手术过程更加简化,更易操作和推广。
Objective To report the treatment and clinical efficacy of epididymal obstructive azoospermia. Methods The traditional end-to-side anastomosis of the epididymis of the vas deferens was modified and the epididymis was longitudinally cut. The epididymal tube was nested into the lumen of the vas deferens and longitudinally stitched with 2-needle anastomosis. Results The clinical application of 20 cases, follow-up results show that 90% pass rate, pregnancy rate was 55%. Conclusion The modified end-to-side telescoped anastomosis of the epididymis of the microvasterus is superior to the traditional end-to-side anastomosis in terms of the rate of relapse and the pregnancy rate, and the operation procedure is more simplified and easier to operate and popularize.