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目的总结腹股沟区手术输精管损伤后的再通治疗经验。方法2005年7月至今收治11例有双侧腹股沟手术史的梗阻性无精子症患者,手术探查腹股沟区均证实输精管损伤,完全离断4例,断端以细弱瘢痕相连的7例,采用手术显微镜下精微对位多层吻合输精管再通术。结果全部病例中10例行再通手术,7例术后精液检测发现精子。结论腹股沟区手术损伤后的输精管再通手术难度较大,显微镜下精微对位多层吻合输精管再通术是治疗腹股沟区输精管损伤的首选方案。
Objective To summarize the recanalization experience after surgical vas deferens injury in the groin area. Methods From July 2005 to the present, 11 patients with obstructive azoospermia who had a history of bilateral inguinal surgery were enrolled. Surgical exploration of the inguinal region showed vas deferens injury, complete disconnection in 4 cases and severed scar in 7 cases. Surgical procedures Microscopically aligned multilevel anastomosis vas deferens recanalization. Results In all cases, 10 patients underwent recanalization and sperm were detected in 7 postoperative semen tests. Conclusions The operation of vas deferens recanalization after operation injury in inguinal region is more difficult. The microscopic alignment multi-layer anastomosis vas deferens recanalization is the first choice for the treatment of vas deferens injury in groin area.