不明原因梗阻性无精子症的诊断与治疗

Diagnosis and Treatment of Obstructive Azoospermja of Unknown Origin

在51例梗阻性无精子症中发现6例不明原因的梗阻,经造影及探查证实梗阻在附睾头1例,附睾尾4例,附睾输精管连接部位1例。对其中5例进行了附睾输精管吻合,术后3例精液中发现精子,但无一例妇方怀孕。结合文献对其诊断条件及治疗进行了讨论。

of 51 patients with obstructive azoospermia. seminal tractn obstruction of unknown origin was found in 6. Among them, sites of obstruction were shown at caput epididvmis in 1 patient, at the transitional region between the cauda epididymis and the vas deferens in 1 patient, and at the cauda epididymis in 4 patients. 5 patients underwent epididymovasostomy, but only 3 had sperms in their semen and pregnancy was obtained in no patients. The diagnostic criteria and treatment were discussed in review of literature.