国际生殖健康/计划生育杂志

国际生殖健康/计划生育 ›› 2009, Vol. 28 ›› Issue (6): 390-393.

• 综述 • 上一篇    下一篇

输精管绝育术后并发症与远期安全性

刘小章;李顺强   

  1. 作者单位： 610041 成都中医药大学四川省计划生育科研所
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-11-15 发布日期:2009-11-15

Complications and Long-term Safety of Vasectomy

LIU Xiao-zhang， LI Shun-qiang   

  1. Sichuan Family Planning Research Institute， Chengdu University of Traditional Chinese Medicine， Chengdu 610041， China
  • Received:1900-01-01 Revised:1900-01-01 Published:2009-11-15 Online:2009-11-15

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摘要： 输精管切除术是一种安全、有效、简便的男性绝育手术，也是一种重要的避孕选择。血肿和感染是最常见的早期手术并发症，发生率分别低于1%和2%。少数人手术后发生慢性阴囊或睾丸疼痛或不适，需要手术治疗者＜1%。报告的输精管切除术失败率为0～2%。超过60%的男子术后发生循环抗精子抗体，除泌尿生殖道感染或炎症风险有短期升高外，多项大规模流行病学研究证实，输精管切除术不增加远期健康风险，包括心血管疾病、免疫相关疾病或前列腺癌。

关键词: 输精管切除术, 并发症, 安全性

Abstract: Vasectomy is a safe， effective and simple male sterilization procedure and an important contraceptive option. Hematoma and wound infection are most common postoperative complications with an incidence of 1% and 2%， respectively. A small number of men experience chronic pain or discomfort in the scrotum or testicles after vasectomy but less than 1% need to be treated by surgery. Vasectomy failure occurs in 0~2% of patients. Antisperm antibodies develop in over 60% of men after vasectomy. No increased health risks including immune-related diseases， atherosclerotic heart disease or testicular/prostate cancer have been proved by large epidemiology studies except a short-term elevation of risk of genitourinary tract infection or inflammation.

Key words: Vasectomy, Complications, Safety