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以输精管再通治疗顽固性男性绝育术后远期并发症16例,并进行详细随访观察。其中精索、附睾炎2例,精索炎伴附睾淤积3例,单纯附睾淤积4例,阳萎3例,痛性结节4例,治愈12例,好转4例,治疗有效率为100％。分析产生并发症的原因、再通适应症及术中操作要点,作者认为,因男性绝育发生的久治不愈、反复发作或伴发性功能改变者,只要落实了节育措施,可行输精管再通治疗。
Followed by vas deferens recanalization of intractable male sterilization after long-term complications in 16 cases, and a detailed follow-up observation. In which spermatic cord, epididymitis in 2 cases, spermatic cord with epididymal deposition in 3 cases, simple epididymal deposition in 4 cases, impotence in 3 cases, 4 cases of painful nodules, 12 cases were cured, improved in 4 cases, the treatment efficiency was 100% . Analyze the causes of complications, and then through the indications and surgical points, the author believes that due to male sterilization of long-term unhealed, recurrent or associated with functional changes, as long as the implementation of the birth control measures, feasible vas deferens recanalization treatment.