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目的探讨在输精管复通术中采用不锈钢丝作支架,直视下吻合输精管的临床效果。方法回顾性总结1995年1月至2012年1月来安陆市计划生育服务站采用不锈钢丝作支架吻合输精管18例的临床资料。结果 18例手术过程顺利,手术时间80~100 min,无并发症发生。术后3个月第一次行精液检查时,15例查到精子,3例未见精子;该3例6个月复查,2例见到精子,1例仍未见到精子。复通成功率94.4%。随访3年,妻子妊娠13例,妊娠率72.2%。除1例无精外,4对未妊娠的夫妇中,丈夫精液检查3例显示精子数量和质量异常,其中2例精子密度<20×106/m L,1例畸形精子>30%;2例妻子年龄>40岁。结论采用钢丝作支架吻合输精管,可提高复通术效果,且简便、易行,在基层可开展。
Objective To investigate the clinical effect of using stainless steel wire as scaffold in v Methods From January 1995 to January 2012, the clinical data of 18 cases of stainless steel wire used for sciatic anastomosis of the family planning service station in Anlu City were retrospectively reviewed. Results 18 cases of successful operation, the operation time 80 ~ 100 min, no complications. Spermatozoa were found in 15 cases and no sperm in 3 cases at 3 months after surgery. The 3 cases were reviewed in 6 months, spermatozoa were found in 2 cases and sperm were not seen in 1 case. Fu Tong success rate of 94.4%. Follow-up 3 years, 13 cases of pregnancy, pregnancy rate 72.2%. In addition to 1 case of no essence, 4 pairs of unmarried couples, 3 cases of sperm examination of her husband showed sperm quantity and quality abnormalities, including 2 cases of sperm density <20 × 106 / m L, 1 case of abnormal sperm> 30%; 2 cases Wife age> 40 years old. Conclusion The use of steel wire as a scaffold anastomosis of the vas deferens can improve the effect of multi-pass, and simple, easy to carry out at the grassroots level.