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<td colspan="2" bgcolor="FFE3F3"> 更新時間：2008-6-18 19:25:22 【字體：<a href="javascript:fontZoomA();" class="top_UserLogin">小</a> <a href="javascript:fontZoomB();" class="top_UserLogin">大</a>】</td>
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<p><font face="Arial" color="#000000"> 輸精管道梗阻所致不育的治療原則以手術治療為主，如：輸精管—附睪吻合術、輸精管吻合術、人工精池術、射精管口尿道內切開術等，并配合抗炎，改善生精功能，提高精液質量，抑制機體產生抗精子抗體等輔助治療，對于手術治療失敗及不愿接受手術治療的輸精管道梗阻不育癥患者可行附睪、睪丸穿刺抽吸取精子行卵子胞漿內單精子注射(ICSI)。</font></p>
<p><font face="Arial" color="#000000"> 輸精管道梗阻所致不育專家推薦應首選顯微外科精微定位輸精管全層吻合術，因為顯微外科精微定位輸精管全層吻合術與傳統手術、普遍的顯微外科輸精管吻合術和人工授精技術相比較存在以下優勢：</font></p>
<p><font face="Arial" color="#000000"> 1、避免了傳統普外吻合術不能做到準確對合，輸精管粘膜對位不良或有組織嵌入，存在著管腔狹窄或慢性梗阻，近睪端輸精管內壓增高，導致的手術失敗。</font></p>
<p><font face="Arial" color="#000000"> 2、顯微外科精微定位輸精管—附睪吻合術因在吻合前根據吻合管徑的大小精確定位了縫線位置，因此在吻合時可以不用考慮縫合線位置而集中精力進行吻合操作，所以，即使在吻合兩端管腔直徑明顯不匹配的情況下也能獲得良好的吻合效果。</font></p>
<p><font face="Arial" color="#000000"> 3、采用全層吻合術縫合，不易勒破輸精管粘膜，線結不留在吻合口肌層間，全層縫合6針已完全對合嚴密，且愈合良好。該方法縮短了手術時間，減少了手術并發癥，術后狹窄概率小，復通率高。</font></p>
<p><font face="Arial" color="#000000"> 4、術后致孕率明顯提高，精子囊腫的發生率則比傳統的非套疊的端側吻合方法大大降低了。</font></p>
<p><font face="Arial" color="#000000"> 5、與IVF(體外受精聯合胚胎移植技術)和ICSI(卵漿內單精子注射)技術相比，具有自然受孕，減小多胎風險;成本低;對女性生理無干擾等優點。</font></p>
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