摘要
对输精管钛栓节育术进行改良，旨在减少组织损伤和并发症。改良术特点：以阴囊刺皮钳刺破皮肤，圆尖锐器锥扎孔均代替刀切。推入钛栓时不宜过深，栓的末端在扎孔近端处，再行固定。一旦取栓时，不必再切开输精管。剪切固定线即可取出。对应用改良术的４３６８例进行随访分析，随访率为９７．４％，避孕有效率９９．１％，失败率０．９％。术后精液检查１８０例，〈４×１０＾６ｍｌ为５，〉４×１０＾６／ｍｌ为２。
In order to reduce the tissue damages and postoperational complications , we have improved the contraceptive operation on the spermatic duct with titanium embolism. The operational procedures are as follows:The scrotum skin was punctured with a skin -stgbbing pliers, ihstead of cutting an incision. A hole was then made on the wall ofthe spermatic duct with a sharp - pointed awl. A titanium embolus was put into the duct through the hole. One end of the embolus was near the hole and fixed with a suture. If the embolus needs to be taken out later,just cutting the suture instead of cut- ting the duct can make it. The follw - up study on 4368 cases after the contraceptive operation has showed that the rate of the follow -up was 97. 6%,the effective rate of the contraception was 99. 1 % and the failure rate was 0. 9%. The semen examations were done on 180 casese and there was 2 case with over 4 million sperms per mm semen and 5 cases with below 4million sperms per mm semen. The sperm disappearance rate was 96%. There were 15 cases with postoperational complications,which included the scrotum tenesmus, epididymitis, em-bolus dislocation, and focal hematoma, and the complication incidence was 0. 4%. Thus, the present results indicate that this improved operation with titanium embolism is simple ,Safe and economical with good effects and few complications. It is easy to be accepted.
出处
《中国计划生育学杂志》
1995年第6期335-337,共3页
Chinese Journal of Family Planning
关键词
输精管
钛栓
节育
Spermatic duct Titanium em-bolism Contraception
