附睾睾丸取精的效果分析

Studing infertile male by percutaneous epididymal sperm aspiration and testicular sperm aspiration

目的探讨无精子症患者生育后代的可能性及不同取精手术方式的优劣。方法结合患者具体病史、体检、辅助检查结果统计分析108例无精子症患者附睾睾丸取精结局。结果附睾穿刺精子获取率(87.88%)高于睾丸活检方式(30.77%)及睾丸细针穿刺方式(10.00%),且差异有统计学意义(P<0.05)。结论在选择取精方式前需向患者认真告知,充分知情,在条件容许的范围内遵从患者意愿,合理手术。

Objective To estimate the clinical application value of azoospermia and contrast percutaneous epididymal sperm aspiration（PESA） and testicular sperm aspiration（TESA）.Methods Azoospermia was diagnosed in 108 patients after detection of centrifuged seminal fluid on at least three occasions.After examination of testis volume,serum gonadal hormone level and B ultrasound of genital system,PESA or PESA/TESA were performed.Histopathologic examination and sperm count were conducted for tissues available.Results The way（87.88%） of obtain sperm epididymal puncture was higher than in the testiular biopsy method（30.77%） and testiwlar fine needle aspiration method（10.00%） statistial signifiance（P0.05）.Conclusion Before operation we must notify patients and make them to know ＂how/why＂ do this,in some range follow patient＇s wish.