Kết quả vi phẫu nối ống dẫn tinh mào tinh điều trị vô tinh do nguyên nhân tắc đường dẫn tinh tại bệnh viện Đại học Y Hà Nội

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Cảnh Vin Bùi, Cao Thắng Nguyễn, Hoài Bắc Nguyễn

Ngôn ngữ: vie

Ký hiệu phân loại: 613.942 Surgical methods of birth control

Thông tin xuất bản: Y học Việt Nam, 2017

Mô tả vật lý: 157-160

Bộ sưu tập: Metadata

ID: 535608

Thêm vào giỏ

Đánh giá kết quả vi phẫu nối ống dẫn tinh mào tinh điều trị vô sinh do nguyên nhân tắc đường dẫn tinh trên 16 bệnh nhân. Kết quả cho thấy việc nối ống dẫn tinh mào tinh vi phẫu là phẫu thuật phức tạp đòi hỏi phẫu thuật viên nhiều kinh nghiệm. Phẫu thuật này mang lại kết quả lưu thông miệng nối với có tỷ lệ thai tự nhiên tốt.Male infertility is becoming a serious problem in public health so that studying to find out an effective treatment has deep social significance. The authors conducted this research to evaluate the results of microsurgical vasoepididymostomy for obstructive azoospermia from which to draw the initial exoenenced lessons about technique of microsurgical reconstruction of seminal tract at Hanoi medical university. Using statistical methods to describe the data of 16 eligble patients, they obtained the following results: history of sexually transmitted infection and a history of PESA or TESA were seen in 6/16 patients. 16 patients with a total of 26 reconstrcuted sides (10 patients with two sides, 5 patients with one side) have achieved a patency rate of 6/15 patients, an ICSI rate of 7/15 patients and overall pregnancy rates of 7/16 patients (including
2 patients achieved by natural means and 5 achieved by ICSI from frozen sperm soon after the operation). The live birth rate was 6/7 of patients. There was one case of stillbirth at the 3rd month of pregnancy penod. Through these results found that microsurgical vasoepididymostomy is opening up a new trend to treat men with obstructive azoospermia. However, microsurgical vasoepididymostomy is a complex reconstructive technique that requires the surgeon must be exoerienced and surgical team must be matured in microsurgical skills. The authors still need more researches with a larger number of patients to be able to conclude about the effectiveness this operation.

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