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阻塞性无精症是男子不育的重要原因之一。Girgis(1969)曾将其发生原因归纳为两类:先天性因素一生殖道大体或显微结构的发育异常;后天性因素一炎症、损伤,或手术误伤等。鉴于现代除采用输精管造影证实阻塞外,尚无理想的诊断方法,从而限制了阻塞性无精症病因学的进一步研究。为此,手术探查方法每有应用。本文就1985~1988年36例阻塞性无精症手术探查以及施行有关矫治手术的情况作一报告。材料与方法本组36例,年龄范围27~42岁,平均31岁。婚姻年限1~8年,平均4年。性生活正常,不存在任何性功能障碍情况,亦无附睾炎等生殖器官病史询及。体格检查状况:全身无特殊发现;生殖器官检查:睾丸容量平均为15毫升,都有双侧附睾头部不同程度的增大,输精管双侧未扪及者8例,单侧者3
Obstructive azoospermia is one of the important causes of male infertility. Girgis (1969) has grouped its causes into two categories: congenital factors, gross or microscopic dysplasia of the genital tract, and acquired signs of inflammation, injury, or surgical injury. In the modern era, there is no ideal diagnostic method except vasectomy, which limits the etiology of obstructive azoospermia. To this end, surgical exploration methods for each application. This article from 1985 to 1988, 36 cases of obstructive azoospermia surgical exploration and the implementation of the corrective surgery for a report. Materials and Methods The group of 36 patients, the age range of 27 to 42 years old, with an average of 31 years old. Marital years of 1 to 8 years, an average of 4 years. Sexual life is normal, there is no sexual dysfunction, no history of epididymitis and other reproductive organs inquiry. Physical examination conditions: no specific body was found; genital examination: an average of 15 ml of testicular capacity, both have varying degrees of bilateral epididymal head increased, vas deferens bilateral untreated in 8 cases, unilateral 3