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输精管结扎术后基于无活动精子进行的早期检测。

Earlier testing after vasectomy, based on the absence of motile sperm.

作者信息

Edwards I S

机构信息

Cronulla Private Medical Clinic, Cronulla, New South Wales, Australia.

出版信息

Fertil Steril. 1993 Feb;59(2):431-6. doi: 10.1016/s0015-0282(16)55706-9.

Abstract

OBJECTIVE

To review the results of postvasectomy testing when clearance was based on the absence of motile sperm and to compare them with regimens based on complete azoospermia.

DESIGN

A review of 2,260 seminal assay results from 3,178 consecutive vasectomies performed during a 17-year period.

SETTING

An outpatient vasectomy service in a private group practice in suburban Sydney.

RESULTS

Clearance was given sooner and with less testing than with other reported regimens, without loss of reliability.

CONCLUSIONS

Testing can be done 4 weeks after vasectomy, regardless of the number of postvasectomy ejaculations. If specimens are examined within 12 hours of collection, clearance may safely be given if motile sperm are absent. Repeat tests are essential if any motile sperm remain but are not needed if only nonmotile sperm are found.

摘要

目的

回顾以无活动精子作为输精管结扎术后检测结果的依据时的情况,并将其与基于无精子症的方案进行比较。

设计

对17年间连续进行的3178例输精管结扎术的2260份精液检测结果进行回顾。

地点

悉尼郊区一家私人团体诊所的门诊输精管结扎服务机构。

结果

与其他报道的方案相比,检测时间更早且检测次数更少,同时不影响可靠性。

结论

输精管结扎术后4周即可进行检测,无论输精管结扎术后射精次数多少。如果在采集后12小时内检查标本,若没有活动精子,则可安全判定输精管结扎成功。如果仍有活动精子,则必须重复检测;但如果仅发现无活动精子,则无需重复检测。

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