[1]冯庆兴,程凤,李彦锋,等.腹股沟疝术后梗阻性无精子症17例临床诊治分析[J].第三军医大学学报,2019,41(14):1365-1369.
 FENG Qingxing,CHENG Feng,LI Yanfeng,et al.Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases[J].J Third Mil Med Univ,2019,41(14):1365-1369.
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腹股沟疝术后梗阻性无精子症17例临床诊治分析(/HTML )
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《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
41卷
期数:
2019年第14期
页码:
1365-1369
栏目:
临床医学
出版日期:
2019-07-30

文章信息/Info

Title:
Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases
作者:
冯庆兴程凤李彦锋胡正委曹全富张勇罗勇周波聂志林黄灶明李倩江军
陆军军医大学(第三军医大学)大坪医院泌尿外科
Author(s):

Department of Urology, Daping Hospital, Army Medical University (Third Military Medical University), Chongqing, 400042, China

关键词:
腹股沟疝梗阻性无精子症医源性损伤显微镜手术输精管/输精管吻合术
Keywords:
inguinal hernia obstructive azoospermia iatrogenic injury microsurgery vas deferens/ vasovasostomy
分类号:
R656.21;R697.25;R699.8
文献标志码:
A
摘要:

目的 总结医源性腹股沟区输精管损伤的临床特征和治疗经验。方法 收集2014年1月至2018年6月就诊于本院有腹股沟疝手术史,且诊断为梗阻性无精子症患者17例,回顾总结其临床特征、手术探查情况和输精管损伤特征,随访观察显微镜下输精管吻合后中远期疗效。结果 17例患者中14例成功进行输精管端端吻合或输精管附睾吻合,术后随访(19.6±9.5)个月,13例患者精道复通成功,精子计数为(33.1±25.6)×106/L,配偶自然受孕成功者6例。结论 有生育要求的梗阻性无精子症患者通过接受显微输精管吻合绝大部分可恢复精道再通。

Abstract:

Objective To summarize the clinical features and treatment of iatrogenic vas deferens injury in the inguinal region. MethodsBetween January, 2014 and June, 2018, we collected the data of 17 patients treated in our hospital for obstructive azoospermia resulting from a previous inguinal hernia surgery for analysis of their clinical features, findings by surgical exploration, and characteristics of vas deferens injuries. All the patients underwent microsurgical vas deferens anastomosis and the mid-term and long-term outcomes of the patients were followed up. ResultsFourteen of the 17 patients underwent vasovasostomy or vasoepididymostomy successfully. The patients were followed up for a mean of 19.6±9.5 months after the microsurgeries, and recanalization was achieved in 13 patients with a mean sperm count of (33.1±25.6)×106/L; natural conception of the spouses was achieved in 6 cases after the surgeries. ConclusionsInguinal hernia surgery is one of the main causes of vas deferens obstruction to result in obstructive azoospermia, and recanalization can be achieved in the majority of such cases by microvasectomy. 

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更新日期/Last Update: 2019-07-22