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Optical Loupe와 현미경을 이용한 단층정관정관문합술의 비교
김종구,조인래,박석산,최희석,Kim, Jong-Gu,Cho, In-Rae,Park, Seok-San,Choi, Hee-Seok 대한생식의학회 2000 Clinical and Experimental Reproductive Medicine Vol.27 No.1
Objective: The objective of this study was to compare results of the macroscopic one-layer vasovasostomy with those of microscopic one-layer vasovasostomy and to analyze the change of semen parameters according to the interval of vasal obstruction. Method and Materials: Between March 1987 and December 1997, we performed 121 vasovasostomies using modified one-layer technique with loupe magnification (macroscopic vasovasostomy) or microscope. Among the 68 could be followed post-operatively, 37 patients were treated by macroscopic technique with loupe, and 31 patients by microscopic technique. We compared rates of anatomical patency (sperm count above than $10{\times}10^{6}$/ml) and pregnancy of macroscopic vasovasotomy with those of microscopic vasovasostomy. Patency and pregnancy rates according to vasal obstructive interval were also examined. Results: The patency rates of macroscopic and microscopic technique were 86.5% and 87.1%, and pregnancy rates of macroscopic and microscopic technique were 64.9% and 67.7%. There was no statistical significance between these two methods (p>0.05). The pregnancy rates and sperm motility were decreased if more than 10 years had elapsed following vasectomy (p<0.05). Conclusion: We found little difference in success rates resulting from macroscopic and microscopic vasovasostomy and the former had the advantage of reduced cost and a lower operator skill level. In post-operative semen analysis, the sperm motility was the most probable factor associated with vasal obstructive interval.
사체동종근막과 자가복직근막을 이용한 치골질식슬링수술의 비교
김대우,박석산 인제대학교 백병원 2002 仁濟醫學 Vol.23 No.3
Objective : The clinical outcome and satisfaction of patients who were treated with pubovaginal sling operations using fascia were evaluated to compare between the results of pubovaginal sling operations using cadaveric fascia lata and autologous rectus fascia. Materials and Methods : From August 1999 to March 2002, 41 and 44 stress urinary incontinence patients were treated with pubovaginal sling operations using cadaveric fascia lata and autologous rectus fascia respectively. All patients underwent preoperative urodynamic study. The postoperative clinical course, complication and satisfaction of patients were obtained by retrospective chart review and telephone interview and compared between the two groups. Results : There was no statistically significant difference between the two groups in the preoperative physical examination or urodynamic study. But postoperatively, the group of using cadaveric fascia lata showed significant better results in the postoperative clinical course, complication and satisfaction of patients than the group of using autologous rectus fascia. Conclusion : The pubovaginal sling operation using cadaueric fascia lata showed significant better results in the postoperative clinical course, complication and satisfaction of patients than the operation using autologous rectus fascia, at short period of follow-up. So these findings suggest that cadaveric fascia lata is an acceptable material for the pubovaginal sling operation. However. for the more precise study, longer follow-up study is needed.