输精管栓堵术节育效果的调查与判定标准评价  

Efficacy survey and criteria evaluation for percutaneous injection of MPU Plugs vas occlusion

作　　者：刘云嵘[1] 邹本坤 张立华 王守进 王明德 王积海 杨显成 王恒才 连石柱[1] 于肇聚 

机构地区：[1]北京国家计划生育委员会科学技术研究所,潍坊市计划生育科研所,诸城市计划生育服务站,高密县计划生育服务站,临朐县计划生育服务站

出　　处：《生殖医学杂志》1994年第1期32-35,共4页Journal of Reproductive Medicine

摘　　要：采用两阶段抽样的方法，对山东省潍坊地区三个县农村采用输精管栓堵法节育术的受术者１５０５例进行了问卷调查。又从其中随机抽取１６．５％的受术对象２４８例采集精液做精子计数。研究结果表明，并发症总发生率为０．７３％。术后一年，精子消失率为８８．３％，９５％可信限为８４．２～９２．４％。按赵生才制定的标准，节育有效率为９５．９％，９５％可信限为９３４～９８．４％。调查发现，术后精子计数在４００万／ｍｌ以下的１９例受术者中，有６例女方仍然使用宫内节育器，７例正值哺乳期，５例未采用措施，１例不详。因此，作者指出，不能证明栓堵术后精子计数小于４００万／ｍｌ可以作为判定男性节育术有效的评价标准。作者认为，判定男性阻塞性节育术效果应以精液两次离心沉淀中精子消失为标准。The two-stage sampling methods was adopted in this survey. 1 505 subjects from threecounties were investigated by questionaire,among them 248 subjects(16.5%) were selected randomly forsperm counts. Results showed that the total complication rate twelve months post operation was 0.73%.Sperm disasppearance rate was 88.3%, 95% confidence interval was 84.2%～92.4%, According toZhao`s success criteria, the efficacy of male sterilization is 95.9%, 95% confidence interval is 93.4%～98.4%. We found that among the 19 subjects whose sperm counts after operation were less than 4million /ml,6 spouses were using IUD,7 were undergoing lactation, 5 were non contraceptive users,1uncertain. Therefore,the spern count of less than 4 millon / ml after operation should not be used as theevaluation criteria on male sterilization efficacy.The authors concluded that the criteria for evaluatingthe male sterilization efficacy should be the observation of azoospermia from two centrifuged semenspeciman

关 键 词：输精管栓堵术 精子消失率 评价标准 

分 类 号：R169.43[医药卫生—公共卫生与预防医学]