Xu B, Huang W D
Chongqing Li Shun-Qiang Andrologic Hospital, 167 East Jianxin Road, Jiangbel District,Chongqing 400020, China.
Asian J Androl. 2000 Mar;2(1):21-4.
Since 1985, the no-scalpel vasectomy technique has been widely used outside China. The prevalence of this technique has helped to increase the acceptability of male sterilization in many parts of the world. More than 5000 physicians in twenty-five developing countries have been trained in the no-scalpel vasectomy technique. In the United States in 1995, nearly one third of vasectomies employed the no-scalpel technique, and in the whole Northern American region, a total of 1100 doctors have been made familiar with the technique. Doctors believe that there are several advantages of the no-scalpel technique, including no incision, no stitches, faster procedure, faster recovery, less chance of bleeding, less discomfort and high efficacy. The key steps of the technique include fixation of the vas and infiltration anaesthesia of the spermatic cord, as well as grasping, delivering and isolating the vas. No-scalpel technique provides a good approach to expose the vas, in conjunction with which, different vas-end occlusion methods may be used.
自1985年以来，无手术刀输精管结扎术已在中国以外的地区广泛应用。这项技术的普及提高了世界许多地区男性绝育手术的可接受性。25个发展中国家的5000多名医生接受了无手术刀输精管结扎术的培训。1995年在美国，近三分之一的输精管结扎术采用了无手术刀技术，在整个北美地区，共有1100名医生熟悉了这项技术。医生们认为无手术刀技术有几个优点，包括无切口、不缝线、手术过程更快、恢复更快、出血几率更小、不适更少以及效果显著。该技术的关键步骤包括输精管固定和精索浸润麻醉，以及输精管的抓取、递送和分离。无手术刀技术为暴露输精管提供了一个很好的方法，结合该方法，可以使用不同的输精管末端闭塞方法。
