腹股沟疝术后梗阻性无精子症17例临床诊治分析

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

doi:10.16016/j.1000-5404.201901174

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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

临床医学 | 更新时间：2026-01-09

- 腹股沟疝术后梗阻性无精子症17例临床诊治分析
- Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases
- 第三军医大学学报 2019年41卷第14期页码：1365-1369
- 作者机构：
  
  400042 重庆，陆军军医大学(第三军医大学)大坪医院泌尿外科
- 作者简介：
  
  [ 李彦锋，E-mail: 1738401063@qq.com LI Yanfeng, E-mail: 1738401063@qq.com
- 基金信息：
- DOI：10.16016/j.1000-5404.201901174
  中图分类号： R656.21;R697.25;R699.8
- 收稿：2019-01-22，
  
  修回：2019-03-09，
  
  纸质出版：2019-07-30
- 稿件说明：
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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.

Qingxing FENG, Feng CHENG, Yanfeng LI, et al. Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases[J]. Journal of Third Military Medical University, 2019, 41(14): 1365-1369.
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. DOI： 10.16016/j.1000-5404.201901174.

Qingxing FENG, Feng CHENG, Yanfeng LI, et al. Treatment of obstructive azoospermia after inguinal hernia surgery: analysis of 17 cases[J]. Journal of Third Military Medical University, 2019, 41(14): 1365-1369. DOI： 10.16016/j.1000-5404.201901174.

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)×10

/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.

Methods

Between 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.

Results

Fourteen 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)×10

/L; natural conception of the spouses was achieved in 6 cases after the surgeries.

Conclusions

Inguinal 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.

关键词

Keywords

references

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