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附睾郁积是输精管绝育术并发症之一,为了解其睾丸病理变化,我们对附睾郁积患者进行了睾丸活检,期望对评价该症的预后及防治提供必要的资料。临床资料 20例附睾郁积症患者均在输精管结扎术后半年以上,最长达16年,平均7.8年,其年龄最小者28岁,最大者49岁,平均38.2岁。18例发生在结扎术后,2例发生在粘堵术后,左侧附睾患病11例,占55％;右侧附睾患病2例,占10％;双侧患病7例,占35％。20例均有明显症状,其表现为患侧阴囊坠胀疼痛,放射到精索及下腹部,9例有腰痛。患侧附睾均有不同程度的肿大,触之张力大、有压痛。有13例并发慢性附睾炎,
Epididymitis is one of the complications of vas deferens sterilization, in order to understand the pathological changes of the testis, we testis biopsy of patients with epididymitis, expecting to evaluate the prognosis of the disease and provide the necessary information. Clinical data 20 patients with epididymitis in vasectomy were more than six months after the ligation, up to 16 years, an average of 7.8 years, the youngest 28 years old, the largest 49 years old, an average of 38.2 years old. Eighteen cases occurred after ligation, and two cases occurred in the occlusion, the left epididymis in 11 cases, accounting for 55%; right epididymis in 2 cases, accounting for 10%; bilateral disease in 7 cases, accounting for 35 %. 20 cases were obvious symptoms, which showed ipsilateral scrotum bulge pain, radiation to the spermatic cord and lower abdomen, 9 cases of low back pain. The affected side of the epididymis have varying degrees of swelling, touching the tension, tenderness. There are 13 cases of chronic epididymitis,