显微镜下输精管吻合术研究进展

Advances in the study of vasovasostomy under the microscope

世界上有10%~15%的男性不育是由梗阻性无精子症(OA)所致,输精管吻合术(VV)是当前治疗OA的金标准方案。常规的VV不能将输精管准确吻合,手术成功率低,而显微镜下视野清晰,大大提高了输精管复通率和配偶妊娠率,对于治疗男性不育有着极为重要的意义,目前主要包括显微外科输精管吻合术,机器人显微外科输精管吻合术和腹腔镜辅助显微外科输精管吻合术等术式。本文就显微镜下VV的临床研究进展进行综述。

Approximately 10-15% of the cases of male infertility worldwide are caused by obstructive azoospermia. Vasovasostomy(VV) is a gold-standard treatment of this disease, but the success rate of conventional VV remains low for failure to anastomose the vas deferens accurately. Fortunately, microscopy makes the field of vision clearer and greatly increases the success rate of vas deferens recanalization and pregnancy. VV under the microscope, including microsurgical VV, robot-assisted microsurgical VV, and laparoscope-assisted microsurgical VV, is of great importance for the treatment of male infertility. This article reviews the progress in the study of VV under the microscope.