输精管显微外科吻合术后复通效果临床研究

Clinical research on effect of reversal of deferent duct with microsurgical techniques

目的报道应用显微外科技术施行输精管吻合复通的临床效果。方法从１９７８年８月起，采用显微外科技术，选择无创伤缝针线，在手术显微镜下施行一层和二层方式的输精管显微外科吻合，术后得到随访２５２例，其中作一层吻合１３３例，二层吻合１１９例。术后不留置腔内支架。结果共作输精管吻合２７７例，随访率９１．２％。复通效果以射出精液中出现活精子作为依据者有２４８例，复通率达９８．４％，以配偶妊娠作为判断标准者有２０８例配偶已获妊娠，妊娠率达８２．５％。结论采用显微外科技术进行输精管吻合手术，可得到良好的吻合，并发症少，可大大提高术后的复通率和获得良好的临床效果。

Objective To investigate the consequence of reversal of deferent duct with microsurgical techniques Methods Using microsurgical technique was used to anastomose 277 cases with deferent duct for male sterililation from August,1978. The 133 patients of them were anastomosed with one layer pattern,and 119 cases with two layer anastomosis Result The 252 patients were followed up 6～12 months after microsurgical anastomosis,visted rate was 91 2% According to patient's seminal fluid ejacculated carrying many sperm,the repatency rate of the deferent duct was 98 6% Preganancy rate was 82 7% Conclusions In operation of deferent duct anastomosis,using microsurgical technique can raisen the repatency rate and clinical effect