CAJ | 학술논문

目的比较行改良输精管单层显微吻合术与全层显微吻合术的疗效.方法回顾性分析2003年6月～2010年7月40例输精管结扎男性患者行输精管吻合再通手术,单层吻合术17例,全层吻合23例,2个月后随访精液中有精子表示再通成功.结果输精管结扎时间＜ 36个月患者,再通后精液中都有精子存在.结扎时间为36 ～96个月,再通率分别为88％和91％,结扎＞96个月后手术,再通率更差.单层吻合的平均手术时间为96min,全层吻合手术时间平均为181min.结论大多数情况下,改良的单层输精管吻合简单,快速.对于大多数患者来说,两种手术方式再通成功率无明显差异,单层吻合术可作为首选治疗.
목적 비교행개량수정관단층현미문합술여전층현미문합술적료효.방법 회고성분석2003년6월～2010년7월40례수정관결찰남성환자행수정관문합재통수술,단층문합술17례,전층문합23례,2개월후수방정액중유정자표시재통성공.결과 수정관결찰시간＜ 36개월환자,재통후정액중도유정자존재.결찰시간위36 ～96개월,재통솔분별위88％화91％,결찰＞96개월후수술,재통솔경차.단층문합적평균수술시간위96min,전층문합수술시간평균위181min.결론 대다수정황하,개량적단층수정관문합간단,쾌속.대우대다수환자래설,량충수술방식재통성공솔무명현차이,단층문합술가작위수선치료.
Objectives To compare the outcome of a modified one-layer and full-layer vasovasotomy (VV) in two groups of men undergoing vasectomy.Methods The patients undergoing a modified one-or full-layer VV between June 2003 and July 2010 were retrospectively reviewed.A successful outcome (patency) was defined as sperm present at follow-up (mean follow-up 8 weeks).A modified one-layer VV was used in 17 men (group 1) and a full-layer VV in 23 (group 2).Results Sperm were present in both groups if surgery was undertaken after vasal obstruction lasting ＜ 36 months.The modified one-and two-layer VV had equal patency (88 ％ and 91％,respectively) when undertaken after an obstructed interval of 36-96 months; outcomes were poorer if surgery was performed after ＞96 months.The mean operative duration was 96 min for one-layer VV and 181 min for the full-layer VV.Conclusions A modified one-layer VV is simpler and faster in most cases.For most patients,both procedures have equivalent patency.A modified one-layer VV can be used as the preferred treatment.