无精子症病人性激素测定和精液细胞学检查

Sexual Hormone and Sperm Cytological Test in Patients with Aspermia

目的 :对无精子症病人进行血清性激素和精液细胞学分析。 方法 :4 5例无精子症病人采用放射免疫法(RIA)检测性激素 ,瑞 吉染色法进行精液细胞学检查。 结果 :4 5例无精子症病人中 ,未检出生精细胞者 2 9例 ,血清T值降低 14例 (31 1% ) ,FSH、LH升高 13例 (2 8 9% ) ,PRL升高 4例 (8 9% )。 结论 :睾丸体积减小、T值降低、FSH和LH升高 ,提示睾丸功能损害 ,并且T/LH值更能反映睾丸间质细胞的功能 ;血清PRL只有在诊断高泌乳素血症引起的无精子症中才有意义 ;血清性激素测定和精液细胞学检查在鉴别非梗阻性与梗阻性无精子症是一项重要指标 ,对判定睾丸功能的损害程度和指导临床治疗有重要意义。

Objectives: To test the serum sexual hormone and sperm cytology in aspermia patients. Methods: Radioimmunoassay (RIA) and Wright Giemsa stain were used to detect serum sexual hormone and sperm cytology in 45 aspermia patients. Results: Among the 45 patients, spermatogenetic cells were detected in 16 patients(35.6%). The level of serum testerone were decreased in 16 patients, and FSH, LH were increased in 13 cases as well as that of PRL in 4 cases. Conclusions: These results suggested that the testis function was demaged, the ratio of T/LH could further reflect the function of Leydig cells, the detection of PRL were significant only in diagnosis of aspermia induced by hypermia. It is an important index in identifying obstructive and non obstructive aspermia and has important significance in estimating the extention of testis demage and commanding the clinical treatment of serum hormone detection and sperm cell analysis.