A modified single-armed technique for microsurgical vasoepididymostomy
A modified single-armed technique for microsurgical vasoepididymostomy
复制标题
改良的单臂显微外科输精管附睾吻合术技术
DOI：
10.1038/aja.2012.100
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发表时间：
2013-01-01
影响因子：
2.9
通讯作者：
Tu, Xiang-An
中科院分区：
文献类型：
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作者：
Zhao, Liang;Deng, Chun-Hua;Tu, Xiang-An
本研究旨在评估改良单臂缝合技术对附睾梗阻性无精子症患者进行显微输精管附睾吻合术 (VE) 的有效性。 2011年9月至2011年12月，我院采用改良单臂缝合技术对17名附睾梗阻性无精症患者进行了显微手术两缝合纵向肠套叠VE。其中两名患者在之前 VE 失败后接受了重复 VE，一名患者因左腹部输精管闭塞而接受了单侧 VE。术后 3 个月精液样本中精子的存在被用作本研究的初步终点。每位患者在3个月的时间点提供至少一份精液样本，并通过精液中精子的再现（>10（4）ml（-1））来评估通畅性。改良技术的平均手术时间为 219 分钟。 10 名男性 (58.8%) 出现通畅，其中包括一名接受重复 VE 的患者。接受单侧吻合术的患者术后精液中未见精子。在该队列中未检测到精子肉芽肿。本研究的结果表明，我们改良的显微外科纵向肠套叠技术是有效的。我们相信这是一种实用的替代方案，可以减少手术时间并避免缝合线交叉。亚洲男科学杂志 (2013) 15, 79-82; doi：10.1038/aja.2012.100； 2012 年 10 月 8 日在线发布
This study is to evaluate the effectiveness of a modified single-armed suture technique for microsurgical vasoepididymostomy (VE) in patients with epididymal obstructive azoospermia. From September 2011 to December 2011, microsurgical two-suture longitudinal intussusception VEs were performed using our modified single-armed suture technique in 17 men with epididymal obstructive azoospermia at our hospital. Two of these patients underwent repeated VEs after previous failed VEs, and one patient underwent unilateral VE because of an occlusion of the left abdominal vas deferens. The presence of sperm in the semen sample at 3 months postoperation was used as the preliminary endpoint of this study. Each patient provided at least one semen sample at the 3-month time point, and the patency was assessed by the reappearance of sperm (>10(4) ml(-1)) in the semen. The mean operative time for the modified technique was 219 min. Patency was noted in 10 men (58.8%), including one patient who underwent repeated VE. The patient who underwent unilateral anastomosis manifested no sperm postoperatively in his semen. Sperm granulomas were not detected in this cohort. The results of this study demonstrate that our modified technique for microsurgical longitudinal intussusception VE is effective. We believe that it is a practical alternative that may reduce operation time and obviate the suture crossing. Asian Journal of Andrology (2013) 15, 79-82; doi:10.1038/aja.2012.100; published online 8 October 2012