小针头固定输精管结扎术8000例报告.docVIP

小针头固定输精管结扎术8000例报告 　　摘要：目的 总结小针头固定输精管结扎术8000例的临床效果。方法 采用小针头固定输精管结扎术对8000 例年龄在23至45 岁之间的已婚男性进行结扎, 并对其中的400例进行术后1年的随访观察。结果 有2例怀孕，避孕有效率为99.5%, 失败率为0.5%;其余7600例女方术后一年的乡镇孕情检测显示有30例怀孕，避孕有效率为99.6%，失败率为0.4%。随访观察的400例术后有1 例局部血肿及1例附睾淤积,无精子肉芽肿，无痛性结节。结论本节育方法操作简便、安全可靠、并发症极少、节育效果好、受术者易于接受。小针头固定输精管结扎是一项值得在卫生医疗机构推广应用的节育方法。 　　关键词：输精管结扎术，小针头固定，小切口不缝合 　　The report of 8000 cases of small needle fixed vasectomy 　　Chai fu-qiang,family planning service station,yinan county,Shandongprovince,276300,china 　　Abstract：Objective To summarize the clinical effect of small needle fixed vasal ligation in 8000 cases. Method8000 cases of married men aged between23 to 45 years old were ligated with small needle fixed vasectomy。400cases were observed within one year after the operation.ResultThere were 2 pregnant women in 400 cases; The contraceptive efficiency is 99.5%, the failure rate was 0.5%.The pregnancy test of their wives in town after one year showed that there were 30 pregnant women in the remaining 7600 cases; the contraception efficiency is 99.6%, the failure rate was 0.4%.There were one case of local hematoma and one case of epididymal stasis in 400 cases after follow-up observation;there were no sperm granuloma and no painful nodules in 400 cases after follow-up observation.Conclusion This method is simple, convenient, safe and reliable; the complication rate of it is low，the contraceptive effect of it is good, andligation object is easy to accept it. Small needle fixed vasectomy is a worthy advocate of male sterilizationin in the medical and health institutions. 　　Keywords： Vasectomy, Small needle fixed, Small incision without suture 　　目前，男性绝育是一项不可缺少的计划生育措施，而输精管结扎术是最常用的男性节育方法。输精管结扎术的目的是为了避孕节育,结扎对象都是健康人群,所以减轻手术痛苦,缩短手术时间, 提高手术效果, 减少手术并发症, 使受术者愿意接受, 因此改进手术方法是我们重要的任务。本着这种精神自2002年至2012年,我采用“小针头固定输精管小切口不缝合输精管结扎术”简称小针头固定输精管结扎术，为8000例年龄在23岁至45 岁的健康已婚男性施行手术，效果良好。现报告如下： 　　1材料与方法 　　1.1 受术对象受术者均为健康已婚男性, 无输精管绝育术禁忌症。年龄在23岁至45 岁之间, 职业有农民、干部、工人，均为自愿接受手术。 　　1. 2 手术器械:5 毫升注射器1个（针头为6号针头）,1支10