126例无精子症病因分析和诊治体会

Analysis of the disease causes and diagnostic and treating experience in 126 cases of azoospermia

本文对在1993年9月～1995年12月，门诊诊治的1342例男性不育症中的126例无精子症病人进行病因诊断分析，提出无精子症的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。按传统的病因分类方法可分为睾丸原发性生精障碍41例，睾丸后病变54例，睾丸前病变10例，其它（包括精索静脉曲张和特发性无精子症）21例，并对睾丸活检、睾丸性激素测定和精索静脉曲张在无精子症病因诊断中的作用作了讨论。对126例无精子症中的64例，采用中西医结合方法进行治疗，有效率达26．56％。

The etiological diagnosis of 126 cases of azoospermia from 1 342 cases of male infertility in 1993. 9~1995. 12 was analyzed. The diagnosis was based on history,physical examination, secondary sex characteristics, volume of testis, semen analysis, level of reproductive hormones. According to the method traditional of classification of the disease causes took out the unexplain damage of testicular germ of sperm function 41 cases,in front of the testicular distufbance 10 cases, other (involving varicocele of spermatic cord and idiopathic azoospermia ) 21 cases, and the testicular biopsy, level of reproductive hormones,and varicocele of spermatic cord in the disease causes diagnosis of azoospermia was discussed. Sixty-four cases of the azoospermia 126 cases were treated with combined Chinese and western medicine,the responed rate was 26. 56%.