显微镜下输精管附睾吻合术治疗梗阻性无精症的疗效分析

目的分析和探讨附睾梗阻引发的无精症病人在显微镜下进行吻合术后的自然怀孕率、复通率及吻合部位对复通率所产生的影响。实验方法：回顾和分析收治的输精管附睾梗阻而引发的无精症患者50例，依据患者在手术中所出现的和吻合的部位不等同的状况，并随访观察患者术后日然怀孕率和复通率。结果分析：患者的年龄2—57．5岁，平均（35．4±7．9）岁；双侧吻合患者41例，单侧吻合9例；附睾尾部的患者27例，附睾体部9例，附睾头部14例；总的复通概率为70．096（35／50），自然怀孕几率为26．0％（13／50）；双侧吻合的复通率为78．05％，单侧为33．33％；侧附睾尾部的复通率为81．5％，附睾体部为66．67％，附睾头部的复通率为50．0%。结论分析：在显微镜条件下，进行输精管附睾吻合术是治疗疗梗阻性无精症的主要方法，且治疗效果较为明显。

Objective To analysis and discussion on epididymis obstruction caused by no refined disease patients under a microscope to anastomose natural pregnancy rate after the operation, after rate and the impact of anastomosis site of visited rate. Experimental methods： to review and analyze from December 2013 to December 2015, two years our hospital of the vas deferens epididymis obstruction caused no refined disease in patients with the clinical data of 50 cases, according to the patients in the surgery condition and parts of the agreement are not equal, and the patients were followed for postoperative day rate of pregnancy and after. Results： the＇patient＇s age range between 20 years to 57.5 years, average age was （35.4 -4-7.9）; 41 patients with bilateral agreement, 9 patients with unilateral anastomosis; 27 patients with the rear of the epididymis, epididymis body of 9 cases of patients, 14 patients with epididymis head; General visited probability was 70.0% （35/50）, natural chance of pregnancy was 26.0% （13/50）; Double side anastomosis after rate was 78.05%, the unilateral anastomosis after at a rate of 33.33%; Side at the end of the epididymis after rate was 81.5%, the body of the epididymis after rate was 66.67%, the epididymis head after at a rate of 50.0%. Conclusion analysis： under the condition of microscope, vas deferens epididymis anastomosis is the major treatment obstructive no refined disease, and treatment effect is more obvious.＇