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題 名 | Microsurgical Vasectomy Reversal: Ten-Years' Experience in a Single Institute=顯微輸精管重建手術--單一醫學中心的十年經驗 |
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作 者 | 黃信介; 謝明里; 黃世聰; 崔克宏; 賴榮豪; 張慧朗; | 書刊名 | 長庚醫學 |
卷 期 | 25:7 2002.07[民91.07] |
頁 次 | 頁453-457 |
分類號 | 416.27 |
關鍵詞 | 輸精管吻合手術; 輸精管重建手術; 接通率; 懷孕率; Vasovasostomy; Vasectomy reversal; Patency rate; Pregnancy rate; |
語 文 | 英文(English) |
中文摘要 | 背景:探討接受輸精管結紮的病患,經由顯微手術重接之後,其接通率及懷孕率之分析。 方法:從1989年至1998年10年之間,在林口長庚醫院總共有70位病患,接受顯微輸精管重建手術,經術後的精液分析及受孕與否,去探討接通率及懷孕率。此外,病患的年齡、結紮的期間長短及接受重建手術的原因,也一併探討。 結果:病患年齡分布從30歲至58歲,結期間長短從4個月至25年,最常見接受手術重建的原因為離婚(42.3%)。在術後精液分析及追?,接通率為85.7%,懷孕率為40.6%。其中有6位病患是因為其他身心因素而接受此手術(如疼痛或性功能障礙);若將此類病患排除,則懷孕率可達50%。若考慮結紮期間長短,則對接通率及懷孕率並無影響。此外有5位患者是因為結紮後疼痛症候群而接受重建手術,術後門診追蹤時,在4位病患之中,有3位的症狀自覺明顯改善。 結論:在本院之顯微輸精管重邁手術,其接通率及懷孕率分別可達85.7%及50%,結紮期間的長短對接通率及懷孕率並無影響。對於第一次輸精管重建手術之後仍無法懷孕者,第二次輸精管重建手術仍然有些效果。另外,對於托受結紮而有會陰部疼痛的病患,接受此重建手術對於其症狀也可有明顯的改善。 |
英文摘要 | Background: A retrospective review was made of patients who received vasectomy reversal from 1989 to 1998 at Chang Gung Memorial Hospital (CGMH) in Linkou, Taiwan. The patency rate and partner pregnancy rates were also analyzed. Methods: Seventy patients underwent a vasovasostomy at CGMH from 1989 to 1998. postoperative semen analysis and achievement of pregnancy in a partner were examined. Various preoperative factors were also examined and analyzed. Results: Patients ranged from 30 to 58 (average, 40.8±6.5) years old. The most common reason fro requesting a vasovasostomy was divorce (42.3%). The patency rate was 85.7% (36/42), and the pregnancy rate was 40.6% (13/32). However, if patients reciving a vasovasostomy for reasons other than to achieve pregnancy (i.e., pain, recetile dysfunction, or infertility of the wife were excluded, the pregnancy rate reached 50.0% (13/26). Three patients received a second vasovasostomy; patency was noted in 2, and pregnancy was achieved in the partner of 1. Of the 5 patients receiving a vasovasostomy due to post-vasectomy pain syndrome, 3 felt that their condition had improved. Conclusion: The patency and pregnancy rates of vasovasostomies in CGMH were 85.7% and 50.0%, respectively. Repeat surgery could be considered an effective means of restoring fertility if an initial vasovasostomy failed. Moreover, a vasovasostomy appeared to be an effective means of treating post-vasectomy pain syndrome. @@@ |
本系統中英文摘要資訊取自各篇刊載內容。