Lehtonen T
Ann Chir Gynaecol Fenn. 1975;64(4):224-6.
70 men were operated for voluntary sterilisation by vasectomy alone and 20 men by vasectomy and irrigation of distal vasa with acid Kystosol solution. Postoperative semen analyses 2 weeks later showed azoospermia in only 2% of cases after vasectomy alone and in 25% of cases following vasectomy and irrigation, and 2 months postoperatively in 44% and 90%, respectively. Non-motile sperm cells in seminal analyses was the most common finding in both series 2 weeks after vasectomy. The problem whether the non motile sperm cells are viable or not is discussed. However, two azoospermic semen analyses must be obtained before sterility after vasectomy can be ascertained.
70名男性仅通过输精管切除术进行自愿绝育,20名男性通过输精管切除术并用酸性胱氨酸溶液冲洗输精管远端。术后2周的精液分析显示,仅行输精管切除术的患者中无精子症的发生率为2%,而输精管切除术后冲洗的患者中这一比例为25%;术后2个月时,相应比例分别为44%和90%。输精管切除术后2周,精液分析中发现无活动精子细胞在两个系列中都是最常见的结果。文中讨论了无活动精子细胞是否存活的问题。然而,在确定输精管切除术后不育之前,必须进行两次无精子症的精液分析。