Alderman P M, Gee E M
Lions Gate Hospital, North Vancouver.
CMAJ. 1989 Mar 15;140(6):645-9.
Significant differences in cost and safety between vasectomy and tubal ligation have been reported. For this reason the incidence of these two procedures between 1976 and 1986 was studied to obtain information upon which future policy decisions might be based. Although tubal ligation predominated in almost every province and year its rate declined by 27.6% over the study period, whereas the rate of vasectomy increased by 39.1%. When projected to 1988 the national rates for the two procedures became nearly equal; those for Quebec had become equal by 1986. Provincial differences were most marked in eastern Canada, where neighbouring provinces had the highest and the lowest rates of sterilization in the country. Given the relative economic and surgical disadvantages of tubal ligation, policymakers may wish to consider fostering an increased acceptance of vasectomy, particularly in areas where such acceptance continues to be slow.
据报道，输精管切除术和输卵管结扎术在成本和安全性方面存在显著差异。因此，对1976年至1986年间这两种手术的发生率进行了研究，以获取未来政策决策可能依据的信息。尽管输卵管结扎术在几乎每个省份和年份都占主导地位，但在研究期间其发生率下降了27.6%，而输精管切除术的发生率则上升了39.1%。预计到1988年，这两种手术的全国发生率将几乎相等；魁北克省的发生率在1986年就已相等。加拿大东部的省份差异最为明显，相邻省份的绝育率在全国最高和最低。鉴于输卵管结扎术相对的经济和手术劣势，政策制定者可能希望考虑促进对输精管切除术的更多接受，特别是在接受度仍然较低的地区。
