影响显微输精管附睾吻合术后复通的相关因素分析

Analysis of the related factors affecting the recurrence of microvasectomy after epididymis anastomosis

目的 探究显微输精管附睾吻合术后复通的相关因素分析.方法 随机抽取本院2014年1至2017年12月期间收入的显微镜输精管附睾吻合术患者120例,研究期间详细了解患者手术方法、年龄、病程、抗精子抗体以及与患者复育关系,采用logistic回归方程进行计算,分析显微镜输精管附睾吻合术后复通的相关因素.结果 显微输精管附睾吻合术后复通人数共计102例,复通率为85. 0% ,未复通人数为18例,未复通率为15. 0% .一般资料对比得出,两组患者在年龄、病程、吻合数量、附睾液分析、吻合部位差异有统计学意义(P<0. 05),将上述差异项目带入logistic回归方程计算,发现年龄、病程、吻合数量、附睾液分析、吻合部位均是引起显微镜下输精管复通术患者复通影响因素.结论 引起显微输精管附睾吻合术后复通相关因素较多,因此,医师可通过降低术中因素进一步提高复通率.

Objective To explore the related factors of reconnection after microvasectomy and epididymis anastomosis.Methods From January 2014 to December 2017,120 cases of microsurgical vasoepididymostomy treated in our hospital from January 2014 to December 2017 were randomly selected.During the study period,the operative methods,age,course of disease,anti-sperm antibody and the relationship between them and the patients reproduction were investigated in detail.Logistic regression equation was used to calculate and analyzed the related factors of recanalization after microsurgical vasoepididymostomy.Results We found that 102 cases were recanalized after microsurgical vasoepididymostomy,the recanalization rate was 85.0%,18 cases were not recanalized,and the recanalization rate was 15.0%.Comparison of two sets of general data found,there were significant differences between the two groups in age,course of disease,number of anastomosis,epididymal fluid analysis and anastomosis site(P<0.05).The differences were calculated by logistic regression equation.Age,course of disease,number of anastomosis,analysis of epididymal fluid and site of anastomosis were found to be the influencing factors of vasectomy under microscope.Conclusions There are many related factors that cause the recanalization after microsurgical vasoepididymostomy.Therefore,doctors can further improve the recanalization rate by reducing the intraoperative factors.