Peterson H B, Huber D H, Belker A M
Division of Reproductive Health, Centers for Disease Control, Atlanta, Georgia.
Obstet Gynecol. 1990 Sep;76(3 Pt 2):568-72.
Data regarding the efficacy of vasectomy are limited, but the procedure appears to be highly effective. Efficacy may vary by the method of vas occlusion. Death attributable to vasectomy in the United States is exceedingly rare, and major perioperative morbidity is quite uncommon. No long-term adverse health effects have been documented, and much evidence supports the conclusion that vasectomy does not increase the risk of subsequent atherosclerosis. Vasectomy, like tubal sterilization, should be considered a permanent decision, because reversal surgery is expensive and requires substantial surgical expertise. Although vasectomy reversal is often successful, it cannot be guaranteed even in the best of circumstances, and when the vasectomy has caused epididymal obstruction, reversal is often unsuccessful. Vasectomy represents a safe and effective alternative to tubal sterilization for couples who decide that the male should be sterilized.
关于输精管切除术疗效的数据有限，但该手术似乎非常有效。疗效可能因输精管阻塞方法而异。在美国，因输精管切除术导致的死亡极为罕见，围手术期的主要并发症也相当少见。目前尚无长期不良健康影响的记录，而且有大量证据支持输精管切除术不会增加随后患动脉粥样硬化风险这一结论。与输卵管绝育术一样，输精管切除术应被视为一项永久性决定，因为复通手术费用高昂，且需要相当高的手术专业技能。尽管输精管复通术通常很成功，但即使在最佳情况下也不能保证，而且当输精管切除术导致附睾梗阻时，复通术往往不成功。对于决定由男性进行绝育的夫妇来说，输精管切除术是输卵管绝育术的一种安全有效的替代方法。
