继发于输精管结扎术的精子肉芽肿很常见,发生率为5—18％,并且是输精管再吻合术失败的重要原因。原发性附睾精子肉芽肿(细菌、霉菌或寄生虫引起的附睾炎肉芽肿不计在内)并不少见,但国内外文献报告均甚少。本院最近有2例附睾肿物病理报告均系精子肉芽肿,现报道于下: 例1男性,28岁。因不育于1984年2月就诊。既往阴囊无外伤及炎症史。体检右附睾尾部可触及1.5及1厘米结节各一个,不规则,中等硬,轻压痛。左附睾头亦略增大变硬。双侧睾丸大小及质地均正常。精液检查未见精子。诊为附睾结核(双)?1984年2月17日在硬膜外麻醉下手术,切除肿物,附睾近端肉眼见正常处有少量灰黄色液体溢出,镜检有大量精子,因此行附睾输精管吻 Sperm granulomas secondary to vasectomy are common, with an incidence of 5-18%, and are an important reason for the failure of vas deferens re-anastomosis. Primary epididymal sperm granuloma (bacteria, mold or parasites caused by epididymitis granuloma excluded, including) is not uncommon, but domestic and foreign literature reports are few. The hospital recently 2 cases of epididymal tumor pathology are sperm granuloma, are reported below: Example 1 male, 28 years old. Due to infertility in February 1984 treatment. Previous scrotum without trauma and inflammation history. Physical examination of the right epididymis tail can reach 1.5 and 1 cm nodules of each one, irregular, medium hard, light tenderness. Left epididymis also slightly increased harden. Both testicular size and texture are normal. Semen did not see sperm. Diagnosed as epididymal tuberculosis (double)? February 17, 1984 under epidural anesthesia surgery, resection of the tumor, the epididymis near the naked eye to see the normal place a small amount of gray-yellow liquid overflow, microscopic examination of a large number of sperm, so the epididymal tube kiss