【摘要】 通过采用作者改良的显微外科输精管吻合法和总结查找近睾端输精管液中精子的方法，对56例输精管结扎术后要求复有者进行了输精管管吻合术．术后2年随访50例，复通率达100％，复孕率达60％、以抗精子抗体、精子穿卵试验、输精管结节精子肉芽肿、精液质量等21个指标对孕组和未孕组进行了对照现实，经过Logistic回归等方法进行统计学处理，筛选出术后SIT、精子存活率、精子密度、IBT结合IgA和IgG、MAR、TAT和精子活动率等8个影响吻合术后受孕的主要因素，其中前2个最为主要。更多还原

【Abstract】 We performed the vasovasostomy on 56 patients who had the vasectomy and then requestea for recanalization through the methods of modified microsurgical vasovasostomy and summarized examining spermatozoa in the fluid of vas segment proximal to epididymis which developed by the authors. Follow-up was made for 50 patients in postoperation for two years. 100% of recanalization and 60% of repregnacy rates were achieved. 21 factors, including antisperm antibody,zona-free hamster oocyte test, spermatic granuloma on vas deferens, semen quality, possibly affecting repregnancy were examined and compared between pregnant and non-pregnant groups. The Logistic regression analysis resulted in 8 significant factors affecting repregnancy, including sperm concentration, motility, viability, SIT, TAT, MAR and IBT with adherent IgA or IgG after the vasovasostomy .among which the SIT and sperm viability are the most important.更多还原