摘要
目的:在置入非堵塞性输精管过滤装置(IVD)6年后,以直视钳穿法(NSV)为对照,评估IVD在男性避孕方面的长期有效性和安全性。方法:回访6年前100例IVD和50例NSV受试者,统计两组避孕成功情况并比较精子消失率和并发症发生率。结果:IVD组有95例(95%)受试者成功回访,NSV组有44例(88%)受试者成功受访,所有受试者配偶未出现术后怀孕,IVD组精液中检查到精子且精子浓度≥5×106/ml 8例,占8.42%(8/95),87例未检测到精子,占91.58%(87/95);而NSV组2例检查到精子,占4.55%(2/44),42例未检查到精子,占95.45%(42/44),两组比较无统计学差异(P>0.05)。IVD组的并发症发生率11.58%,NSV组的并发症发生率4.55%,两组比较无统计学差异(P>0.05)。结论:现有的IVD的避孕效果不比传统NSV差,且未因植入IVD而增加术后并发症,IVD在男性避孕方面安全、有效。
Objective : To assess the long-term effect and safety of non-occlusive intra-vas device (IVD) for male contraception in comparison with no-scalpel vasectomy (NSV). Methods: We conducted a follow-up investigation on 100 males who had received IVD and another 50 who had undergone NSV 6 years before. We compared the rates of sperm absence and complications between the two groups. Results: Follow-up visits were successfully performed on 95 males (95%) of the IVD group and 44 (88%) of the NSV group. Pregnancy was not found in any of the cases. Spermatozoa ( I〉5 x 106/ml) were not detected in 87 cases (91.58%) in the IVD group and in 44 cases (95.45%) in the NSV group, with no significant differences between the two groups (P 〉0.05). The rate of postoperative complications in the IVD group ( 11.58% ) showed no significant difference from that of the NSV group (4.55%) ( P 〉0. 05). Conclusion: IVD is as effective and safe as NSV for male contraception.
出处
《中华男科学杂志》
CAS
CSCD
2013年第4期321-323,共3页
National Journal of Andrology
基金
河南省公益类科研院所预研项目(11yy005)~~
关键词
男性避孕
输精管
输精管过滤装置
直视钳穿
male contraception
vas deferens
intra-vas device
no-scalpel vasectomy