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输精管结扎术后吻合方法很多,其效果报道复通率76.7％～100％,妊娠率52.63％～75.56％不等。自1980年以来,我院应用无支架一层缝合法,取得满意效果。现报告如下。资料与方法 (一)一般资料:本组35例,年龄28～45岁,平均36.4岁,输精管结扎方法,以单纯切断结扎为主。输精管结扎离复通时间6个月～14年,绝大多数在5年内。复通原因:子女意外死亡或伤残需再育者20例;再婚后要求生育者2例;结扎后出现痛性结节、附睾郁积症、性功能障碍,治疗无效经当地计划生育部门同意而行复通者13例。 (二)手术方法:硬膜外麻醉下,于阴囊正中作1-2cm切口,用输精管固定钳夹住结扎段输精管并提出切口,沿结扎结节向两端分离1cm,在距结
Vasectomy after a lot of anastomosis, the effect reported double pass rate of 76.7% to 100%, pregnancy rates ranging from 52.63% to 75.56%. Since 1980, our hospital applied a layer of sutureless method to achieve satisfactory results. The report is as follows. Materials and Methods (a) General Information: The group of 35 patients, aged 28 to 45 years, mean 36.4 years old, vasectomy method, mainly to cut off ligation. Vasectomy ligament from the time of 6 months to 14 years, the vast majority in 5 years. Replenishment reasons: children accidental death or disability need to re-educate 20 cases; remarriage after requiring fertility in 2 cases; painful nodules after ligation, epididymitis, sexual dysfunction, treatment is not approved by the local family planning department And recurrent in 13 cases. (Two) surgical methods: epidural anesthesia, in the middle of the scrotum for 1-2cm incision, with a vas deferens fixed clamp clamp the vasectomy and made incision, ligation along the nodules to both ends of the separation 1cm,