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输精管切除术用于男性自愿绝育。

Vasectomy for voluntary male sterilisation.

作者信息

Lehtonen T

出版信息

Scand J Urol Nephrol. 1975;9(3):174-6. doi: 10.3109/00365597509134206.

DOI:10.3109/00365597509134206
PMID:1209172
Abstract

Vasectomy was performed in 90 men in Department of Surgery II of the University Central Hospital of Helsinki during the period January 1st, 1972 to December 31st, 1973. Operation was performed on an ambulatory basis under local anesthesia. After resection and ligation of vas deferens the cut ends were placed in different fascial planes in order to avoid recanalisation. The patients were mainly in the age group 31-40 years. Seven patients had postoperative complications, scrotal hematoma being the most common. Recanalisation was found in one patient, in whom a new operation was performed. The author stresses the importance of a correct vasectomy method, histological verification of the divided vasa and most of all the postoperative sperm analysis. Two negative sperm analyses with an interval of at least 1 month must be recorded before sterility can be confirmed.

摘要

1972年1月1日至1973年12月31日期间,赫尔辛基大学中心医院第二外科为90名男性实施了输精管切除术。手术在局部麻醉下门诊进行。切除并结扎输精管后,将断端置于不同的筋膜平面,以避免再通。患者主要为31 - 40岁年龄组。7例患者出现术后并发症,最常见的是阴囊血肿。1例患者发现输精管再通,为此进行了再次手术。作者强调正确的输精管切除方法、对切断输精管进行组织学验证以及最重要的术后精子分析的重要性。在确认不育之前,必须记录两次间隔至少1个月的阴性精子分析结果。

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