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我科自1981年以来应用显微外科技术施行各类输精管手术120例、218根.其中复育者99例。术后总随访率88％;复精率92％,妊娠率76％,第一年内妊娠率63％.文中详细讨论了手术适应症和方法选择,比较手术显微镜下三种吻合方法,认为精道阻塞的部位、长度和性质是确定治疗方案的依据,而在吻合前应有效地证实近远睾端管腔通畅性。推荐改良一层吻合法为最佳术式供选择.并就术后并发症及5例失败原因进行了分析。
Since 1981, our department has applied microsurgical techniques to perform various types of vas deferens surgery in 120 cases and 218, of whom 99 cases were bred. The total follow-up rate was 88%, the recovery rate was 92%, the pregnancy rate was 76% and the pregnancy rate was 63% in the first year.The surgical indications and method selection were discussed in detail in this article. Three kinds of anastomosis methods were compared under the operation microscope, The site, length, and nature of the obstruction are the basis for determining the treatment regimen, and patency of the proximal and distal testis should be effectively demonstrated prior to anastomosis. It is recommended to improve the anastomosis for the best surgical procedures to choose from, and postoperative complications and 5 cases of failure were analyzed.