日本千叶大学1980～1990年共诊治无精子病213例,治疗随原因不同而异。闭塞性无精子症的治疗:①输精管吻合术适用于输精管复通。两侧腹股沟疝术后输精管闭塞、先天性输精管不全等,用一般和显微外科吻合术,术后妊娠率分别为39%～57%及43%～71％。②附睾-输精管吻合术适用于附睾闭塞,以及输精管吻合术时睾丸侧输精管断端无精子、附睾继发性闭塞时切断附睾后见到精子者。吻合时因附睾管和输精管两者内径不同,故作侧侧吻合术疗效不理想,以在显微镜下行端端吻合术为优。③人工精液瘤设造术适用于先天性两侧输精管缺损,或因结核等 Japan Chiba University from 1980 to 1990 were treated 213 cases of azoospermia, treatment varies with the reasons. Obstructive azoospermia treatment: ① vas deferens anastomosis for vasectomy. Both sides of the inguinal hernia after vasectomy, congenital vas deferens incomplete, with general and microsurgical anastomosis, postoperative pregnancy rates were 39% to 57% and 43% to 71%. ② epididymis-vas deferens anastomosis for epididymal occlusion, and vas deferens anastomosis at the testis side of the vas deferens off no sperm, epididymal secondary obstruction of the epididymis to see the sperm were. Anastomosis of the epididymal tube and the vas deferens both have different diameters, so the effect of lateral anastomosis is not ideal, endoscopic microsurgery is preferred. ③ artificial sperm tumor surgery for congenital defects on both sides of the vas deferens, or tuberculosis and so on