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木文对输精管结扎后的“附睾瘀积”进行了系统研究。选用金黄地鼠为实验动物,结扎组84只,对照组76只。采用微穿刺、微量分析方法证实扎管后附睾功能受损。组织学检查示附睾管扩张,间质充血,有大量慢性炎细胞浸润。临床收集49例病人,39例微波治疗,10例手术,效果优良。采用B超、C超、MRI观察瘀积附睾,发现附睾瘀积多位于附睾尾部。人类标本的光镜及电镜检查证实,附睾瘀积的病理实质是附睾对外渗精子的一种无菌性炎症反应。本文根据研究资料,阐明了附睾瘀积的发生机制,提出了防治方法,并定名为“附睾瘀积综合征”。
Woody vasectomy after the “epididymal stasis” were systematically studied. Golden hamster was selected as experimental animals, 84 in the ligation group and 76 in the control group. Micro-puncture and microanalysis were used to confirm the dysfunction of epididymis after cerclage. Histological examination showed expansion of the epididymal tube, interstitial congestion, a large number of chronic inflammatory cell infiltration. Clinical collection of 49 patients, 39 cases of microwave treatment, 10 cases of surgery, the effect is excellent. B ultrasound, C ultrasound, MRI stasis epididymis, epididymal stasis found mostly in the epididymal tail. Light microscopy and electron microscopy of human specimens confirmed that the pathological essence of epididymal stasis is a sterile inflammatory reaction of the extravasated spermatozoa to the epididymis. Based on the research data, this paper clarifies the mechanism of epididymal stasis, puts forward the prevention and treatment methods, and named as “epididymal stasis syndrome.”