Kjersgaard A G, Thranov I, Rasmussen O V, Hertz J
Department of Surgery, Frederiksborg County Hospital, Hørsholm, Denmark.
Fertil Steril. 1989 Mar;51(3):439-43. doi: 10.1016/s0015-0282(16)60550-2.
The study compares 709 males and 546 females recruited from a well-defined geographic area and sterilized during a 5-year period at the same hospital. Medical records were reviewed and questionnaires sent out. Widespread satisfaction with the sterilization was found. The sterilized women had experienced contraceptive side effects and failures more often than the men. Only 70% of the laparoscopic sterilizations could be carried out during a 1-day admission, 25% of the women complained about long-term sequelae, and there were 1% failures. The vasectomies were carried out on an outpatient basis, there were few postoperative symptoms, and 0.5% failures were recorded. Female sterilization was at least four times as expensive as vasectomy. It is concluded that vasectomy is generally to be preferred to female sterilization, and that the preoperative guidance should involve both man and wife.
该研究比较了从一个明确界定的地理区域招募的709名男性和546名女性，他们在同一家医院的5年期间接受了绝育手术。研究人员查阅了医疗记录并发放了调查问卷。结果发现，患者对绝育手术普遍满意。绝育女性比男性更常经历避孕副作用和失败情况。腹腔镜绝育手术中只有70%可以在一天住院期间完成，25%的女性抱怨有长期后遗症，且有1%的失败率。输精管切除术在门诊进行，术后症状很少，记录的失败率为0.5%。女性绝育的费用至少是输精管切除术的四倍。结论是，一般来说输精管切除术比女性绝育更可取，并且术前指导应该同时涉及丈夫和妻子。
