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对经常规输精管吻合1次未复通的9例,2次仍未复通的6例以显微外科技术施行了再次输精管吻合术。后获精液复查的14例均再现精子,复通率达100％。这15例在本次吻合术前检查血清精子凝集抗体有80％为阳性,术中取输精管结节病检有16.7％发现精子肉芽肿。吻合术采用4定点全层缝合后先将两侧壁打结,然后间针浆肌层缝合前后壁再打结,这样缝合方便准确,对合严整。术中检查近睾端输精管精子采用消毒玻片直接沾涂溢液、附睾及输精管曲段按摩,生理盐水低压灌注等方法使精子检出率达80％。
Of the conventional vas deferens anastomosis in 1 case without recanalization in 9 cases, 2 times not yet regrouped in 6 cases with microsurgical techniques for re-vas deferens anastomosis. After semen review 14 cases were sperm reproduction, pass rate of 100%. The 15 cases in this anastomosis preoperative examination of serum sperm agglutination antibody was positive 80%, intraoperative vas deferens nodules detected 16.7% found sperm granuloma. Anastomosis with 4 fixed-point full-thickness suture after the first two sides of the knot, and then between the anterior muscle pulp stitching and then tie the knot, so easy and accurate suture, the closure and integrity. Intraoperative examination of the proximal testis vas deferens sperm disinfection slide directly coated with discharge, epididymal and vas deferens song massage, saline and other methods to make sperm detection rate of 80%.