摘要
本文对１９８６～１９９２年门诊收治的２６０３例男子不育症中的２６３例无精子症患者进行病因诊断分析。提出无精子症病因诊断应根据病史、体检、第二性征、睾丸体积、精液分析、生殖激素等检查方法，首先区别是梗阻性的还是非梗阻性的。按ＷＨＯ男性不育诊断流程图的诊断标准对无精子症２６３例进行病因分类，提出其常见病因依次为先天异常不育８９例，特发性无精子症５５例和附属性腺感染不育４５例。对睾丸功能、阴囊探查和睾丸活检在无精子症病因诊断中的作用作了介绍。
The etiological diagnosis of 263 cases of azoospermia from 263 cases of male infertility in 1986～1992 was analyst.The dbenosis was based on.history, physical examination, secondary sex characteristics, volume of testes, semen analysis,level of reproductive hormones. According to WHO classification of male infertility,he most common causes of azoospermia were; congenital infertility 89 cases,idiopathic azoospermia 55 cases,and infection of accessory reproductive glands 45 cases, etc.The value of function al test of testis,investigative surgery of scrotum and testicular biopsy in diagnosis of azoospermia was discussed.
