Saturday, July 14, 2012

Why is the precise way obstructed

Why is the precise way obstructed
It is nearly three years since Xiao Li married couple got married, there are no children. Check by the doctor, the question appears on Xiao Li. Xiao Li's testis is big or small, development is normal, the sex function is out of question, there are no sperms in the seminal fluid. The doctor analyzes, may be a transport pipeline (precise way) of the sperm Stop up, make the sperm unable to arrange out. Propose Xiao Li further checks in order to make a definite diagnosis of finally. In the case that the precise way is obstructed, the most common one is to lose the precise pipeline to stop up. The method to check the spermatic duct and stop up can be confirmed according to concrete medical condition. Most easy the intersection of testis and organization of method examine while being alive, namely check the intersection of testis and work, organize. If urge ovum bubbles to be plain and normal in the blood with ketone content of testis, the testis is normal in biopsy, can affirm that has lost the precise pipeline and has been stopped up, or inborn spermatic duct hypoplasia. Otherwise, may grow the precise function question. Also can do X-ray once and take pictures, namely make a spermatic duct seminal vesicle gland radiography skill. This kind of radiography skill is used in 1913 clinically, because there are some side effects, have never got very good development. While doing the radiography skill in the past, should cut the skin of scrotum first, then punctured into the spermatic duct by injecting the needle, could take the X-ray photograph after injecting radiography pharmaceutical into the gland direction of seminal vesicle, can judge whether seminal vesicle gland, prostate, ejaculatory duct, spermatic duct, belly of spermatic duct pot,etc. have questions according to this film. This kind of operation is damaged greatly, in addition, high radiography pharmaceuticals viscous in density used will promote the spermatic duct to block at that time, may lead to the fact infect, cause and continue the taking place blocking. Later, people improved this kind of method, adopted and kissed radiography pharmaceutical of swimming skill, especially needn't have an operation, puncture the spermatic duct by the skin of scrotum directly, has lightened the agony of damage and patient organized. Practice has proved such improved method, has improved security and success rate. But still need could carry on this inspection in the conditional hospital. According to foreign countries materials, the sterility that is caused by the fact that the precise way block accounts for sterile 3-10% of man, Shanghai river be can account for 0 63% to wait for report ofed fish Professor,other report at 2% about one someone too. The reason causing the precise way to be obstructive: Inborn and unusual; Inflammation, tuberculosis; Traumatism; Cyst or tumour; Outside oppression,etc.; Yang's syndrome, this solicits and often amalgamates with bronchiectasis. If has found and blocked the position, and block the position or lock the position non- long, can give identically through microsurgery's skill if performing the operation. In more than 30,000 sterility patients as Hamburg university of Federal Republic of Germany has accepted for medical treatment for many years, it is not precise that 1,000 people belong to this kind of block, namely the precise way was blocked, the conditional patient of the half of them has carried on the identical operation. Other situations, can take the therapeutic method to the ill to condition such as inflammation, tuberculosis,etc..

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