非手术刀输精管切除术与标准切口输精管切除术的比较评估

COMPARATIVE EVALUATION OF NO-SCALPEL VASECTOMY AND STANDARD INCISIONAL VASECTOMY.

作者信息

Sandhu A S, Kao P R

机构信息

Graded Specialist (Surgery), 158 Base Hospital, C/o 99 APO.

Senior Adviser (Surgery), 158 Base Hospital, C/o 99 APO.

出版信息

Med J Armed Forces India. 1998 Jan;54(1):32-34. doi: 10.1016/S0377-1237(17)30403-3. Epub 2017 Jun 26.

DOI:10.1016/S0377-1237(17)30403-3

PMID:28775407

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5531239/

Abstract

No-scalpel vasectomy employs a refined method of dissection and delivery of the vas deferens. We compared no-scalpel vasectomy with standard incisional vasectomy in 176 patients over a 33 month period. The haemorrhage rate was 1.08 per cent for no-scalpel vasectomy compared with 11.9 per cent for standard vasectomy (p < 0.005). The infection rate was 3.26 per cent for no-scalpel vasectomy as against 14.28 per cent for standard vasectomy (p < 0.01). There was a 37.5 per cent reduction in operating time and a substantial reduction in pain during and after the procedure when no-scalpel vasectomy was performed and also there was no failure of vasectomy. No-scalpel vasectomy is a satisfactory alternative to standard vasectomy with fewer complications and increased patient acceptability.

摘要

非手术刀输精管切除术采用了一种精细的输精管解剖和提取方法。我们在33个月的时间里，对176例患者进行了非手术刀输精管切除术与标准切口输精管切除术的比较。非手术刀输精管切除术的出血率为1.08%，而标准输精管切除术为11.9%（p<0.005）。非手术刀输精管切除术的感染率为3.26%，标准输精管切除术为14.28%（p<0.01）。进行非手术刀输精管切除术时，手术时间减少了37.5%，术中及术后疼痛大幅减轻，且输精管切除术无失败情况。非手术刀输精管切除术是标准输精管切除术的一种令人满意的替代方法，并发症更少，患者接受度更高。