122例不育症睾丸活检病理学观察

Apathological observation of 122 cases of testicular biopsy in male infertility

对122例不育症睾丸活检标本进行观察分析。结果表明，病变累及的部位主要为曲细精管生精上皮（122／122），依次为曲细精管界膜（78／122）、睾丸间质（68／122）。病理组织学分类为生精细胞脱落管腔雍塞50例（40．9％），生精障碍26例（21．3％），生精功能低下18例（14．8％），生精细胞发育不全17例（14．0％）．曲细精管透明变性7例（5．8％），克氏征3例（2．5％），混合病变1例。睾丸活检对男性不育症的诊断、分型、治疗及预后判断均具有重要价值。本文亦对精索静脉曲张致使不育进行了讨论。

122 cases of testicular biopsy in male in fertility were studied. The location oflesion was mainly spermatogenic epithellum of seminiferous (122/122 ), following: hasalmenbrane(78/122), interstilium (68/122). HistQPathological classification including immature cellsloughing and lumen blockage 50 cases (40.9%),spermatogenesis arrest 26 cases (21. 3%),hypospermatogenesis 18 cases (14.8%), geminal cell aplasia 17 cases (14. 0% ), tubulehyalinization 7 cases (5.8%), Klinefelter's syndrome 3 cases (2. 5 % ),mixed lesion 1 case.