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本文共进行输精管吻合术30例,其中结扎术后需恢复生育的21例(70%),附睾郁积9例(30%)。全部手术均采用显微外科技术。早期复通率为93.1%。术后妊娠率42.9%。附睾郁积术后症状改善率56%。本文就手术成功率、附睾郁积术后改善情况及手术中精液涂片检查结果与预后的关系进行了讨论。提出了输精管多次吻合术后,因局部组织的健康状况不佳是输精管再次吻合失败的主要原因之一。
In this paper, 30 cases of vas deferens anastomosis were performed, of which 21 cases (70%) were required to reproduce after ligation and 9 cases (30%) had epididymal stasis. All operations using microsurgical techniques. The early recurrence rate was 93.1%. Postoperative pregnancy rate was 42.9%. Epididymitis postoperative symptom improvement rate of 56%. This article discusses the relationship between the success rate of surgery, improvement of epididymitis and the results of semen smears and prognosis during surgery. Proposed vasectomy after multiple anastomosis, due to the poor health of the local tissue is one of the main reasons failed vasectomy again.