摘要
目的：研究梗阻性无精子症动物模型的制作方法,比较不同显微外科吻合技术的优缺点。方法将20只6周龄雄性SD大鼠随机分成5组，包括假手术组、对照组、双针纵向输精管附睾套叠式吻合（VE）组、单针VE组、逆向单针VE组。除了假手术组外，各组大鼠都行近附睾端双侧输精管结扎术，制作梗阻性无精子症的动物模型；2周后分别行双针VE、单针VE、逆向单针VE，对照组只行输精管结扎术，假手术组我们把睾丸移出腹腔后再移回原位。12周后处死大鼠，检测吻合口和输精管结扎处精子肉芽肿形成情况，从输精管的腹腔端向附睾注射美兰，检测吻合口的机械再通率。结果双针VE组，单针VE组，逆向单针VE组的机械再通率分别是100%、75%、87.5%，精子肉芽肿的形成率分别是12.5%、12.5%、12.5%，平均手术时间是（38.1＆#177;4.3）min、（42.3＆#177;2.9）min、（41.0＆#177;3.3） min。结论双侧近附睾端输精管结扎制作梗阻性无精子症动物模型的方法简单、可靠，适用于显微VE技术训练。单针法VE可以获得双针VE法相同的疗效，节约手术成本，在缺少双针缝线时不失为实用、有效的替代手术方法，逆向单针VE术能降低误缝输精管对侧粘膜的概率。
Objective To study the method of making of obstructive azoospermia（OA） animal model, and compare the advantages and disadvantages of different microsurgical anastomosis. Methods Total of 20 male SD rats （6-week-old） were randomly divided into 5 groups, including the sham operation group, the control group, the standard double-armed longitudinal intussusception vasoepididymostomy（VE） group, the single-armed and reverse single-armed longitudinal intussusception vasoepididymostomy groups. All rats except those in the sham operation group were treated with bilateral vasectomy （closed epididymis） to make obstructive azoospermia（OA） rat model. Two weeks after vasectomy, bilateral standard double-armed longitudinal intussusception vasoepididymostomy（VE）, single-armed and reverse single-armed longitudinal intussusception vasoepididymostomy were performed in the assigned rats. Rats in the control group underwent vasectomy only. In the sham operation group, the testes of rats were moved out of the scrotum and then returned. Rats were sacrificed after 12 weeks. The anastomosis and vasectomy sites were inspected for sperm granuloma. Patency was confirmed by injecting Methylene blue from the abdominal end of the vas through the anastomoses to epididymis. Results In the standard double-armed longitudinal intussusception vasoepididymostomy（VE）, the single-armed and reverse single-armed longitudinal intussusception vasoepididymostomy groups, the patency rates were 100%, 75%, and 87.5%, sperm granuloma rates were 12.5%, 12.5%and 12.5%, the average operation times were 38.1＆#177;4.3min, 42.3＆#177;2.9 min, and 41.0＆#177;3.3 min, respectively. Conclusion Bilateral vasectomy （closed epididymis） is reliable, simple method to make obstructive azoospermia（OA） animal model, suitable for performing microscopic vasoepididymostomy（VE） training. This study suggests that the single-armed suture technique for vasoepididymostomy performing is almost as effective as the double-armed technique and can
出处
《中国男科学杂志》
CAS
CSCD
北大核心
2014年第2期46-50,共5页
Chinese Journal of Andrology
