Schmidt S S
Department of Urology, University of California School of Medicine, San Francisco, USA.
Br J Urol. 1995 Sep;76(3):373-4; discussion 375.
To determine the incidence of complications, including recanalization, in a series of 6248 consecutive vasectomies performed with a section-fulguration-fascial interposition technique.
Over a 38-year period, 6248 vasectomies were performed by one surgeon (S.S.S.) as a clinic procedure under local anaesthesia with no resection of a vasal segment. The mucosa of the cut ends of the vas was destroyed by cauterization and the fascial sheath of the vas was interposed as a barrier. Semen specimens were examined until two specimens, one month apart, showed no sperm.
Complications were minimal, with few cases of haematoma or wound infection. Spermatic granulomas were uncommon. No post-vasectomy pregnancies were reported and no patient showed a persistence of sperm.
The section-fulguration-fascial interposition technique of vasectomy was uniformly effective, with few post-operative problems.
确定采用切断-电灼-筋膜置入技术连续进行的6248例输精管切除术的并发症发生率，包括再通情况。
在38年期间，由一名外科医生（S.S.S.）在局部麻醉下作为门诊手术进行了6248例输精管切除术，未切除输精管段。输精管断端黏膜经烧灼破坏，并置入输精管筋膜鞘作为屏障。对精液标本进行检查，直至间隔一个月的两份标本均未发现精子。
并发症极少，血肿或伤口感染病例很少。精索肉芽肿不常见。未报告输精管切除术后妊娠情况，也没有患者精子持续存在。
输精管切除的切断-电灼-筋膜置入技术效果一致，术后问题很少。
