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我院在输精管结扎手术中,出现9例并发症,现总结如下: 一、阴囊血肿3例: 1、原因:①对输精管结扎术不够重视,认为手术简单,而掉以轻心;②原患有凝血机能障碍疾病,但术前未做出凝血时间检查;③术中损伤血管,未作妥当的处理;④结扎血管的丝线脱落。 2、处理:将切口扩大,把皮下凝血块及阴囊内血肿全部清除,找出损伤的输精管动脉,结扎出血点,放置橡皮引流条。同时并用抗生素及止血剂,以减少远期并发症的发生。
In our hospital vasectomy surgery, there were 9 cases of complications, are summarized as follows: First, the scrotal hematoma in 3 cases: 1, reason: ① vasectomy is not enough attention that the surgery is simple, and taken lightly; ② the original suffering from coagulation Disorders, but did not make preoperative coagulation time examination; ③ intraoperative vascular damage, not properly treated; ④ ligation of blood vessels off the thread. 2, treatment: the incision to expand, the subcutaneous clots and scrotal hematoma all clear, find the vas deferens damage artery, ligation of bleeding, place rubber drainage strips. At the same time with antibiotics and hemostatic agents to reduce the incidence of long-term complications.