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外科取精术:选择哪种方法? 被引量：49

Surgical Sperm Retrieval: Which Method to Use?
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摘要 在过去的 5～ 10年里 ,医学领域中很少有像生殖医学那样发展迅速 ,特别是使用卵胞浆内精子注射 (ICSI)技术治疗男性不育及先进的外科附睾和睾丸取精术。这两项重大技术进步彻底改变了原先不可治愈的睾丸衰竭 (非梗阻性无精子症 )、射精障碍或不可修复的梗阻性无精子症。那些患有非常严重的不能用特殊方法和手术治疗的不育男性 ,现在有机会利用他们仅有的几条精子做起其生物学子女的父亲。讨论了辅助生育的各种先进的精子取出术 ,重点讨论技术和安全性。每一技术有其特殊的医学适应证。 During the past 5～10 years, very few medical fields have changed dramatically as reproductive medicine, especially for the new treatment for the male infertility by the use of intracytoplasmic sperm injection (ICSI) techniques and advanced surgical epididymal and testicular sperm retrieval techniques. Those two major technical advances have completely changed the treatment for previously untreatable testicular failure (non obstructive azoospermia), ejaculatory failure or un reconstructable obstructive azoospermia. Many men with even the most severe forms of infertility that are not amendable to specific medical and surgical treatments can now have chances to father biological children with only a few of their spermatozoa. This review serves to discuss the various advanced sperm retrieval techniques available for assisted reproduction, with specific focus on the technical aspects and safety. Each technique has its specific medical indications, efficacies and limitations.
作者 李石华 Marc GOLDSTEIN Peter N.SCHLEGEL
机构地区 Cornell Institute for Reproductive Medicine
出处 《中华男科学杂志》 CAS CSCD 2001年第2期71-78,共8页 National Journal of Andrology
基金 FundedbyCenterforMaleReproductiveMedicine&MicrosurgeryCornellUniversity
关键词 非梗阻性无精子症 男性不育症 取精术 治疗 Non obstructive azoospermia Male infertility Sperm retrieval
分类号 R698.2 [医药卫生—泌尿科学]
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参考文献20

  • 1Palermo G, Joris H, Devroey P etal. Pregnancies after intracytoplasmicinjection of single spermatozoon into anoocyte[J].Lancet,1992,340(8810):17～18.
  • 2Girardi SK, Schlegel PN. Microsurgical epididymal sperm aspiration: Reviewoftechniques, preoperative considerations, and results[J]. J Androl,1996,17(1):5～9.
  • 3Sheynkin YR, Schlegel PN. Sperm retrieval for assisted reproductivetechnologies[J].Contemporary,1997, 15(1): 113～129.
  • 4Matthews GJ, Goldstein M. A simplified method of epididymal spermaspiration[J].Urology,1996, 47(1):123～125.
  • 5Schlegel PN, Palermo GD, Goldstein M et al. Testicular sperm extractionwith ICSIfor non-obstructive azoospermia[J]. Urology, 1997, 49(3):435～440.
  • 6Silber SJ, Nagy ZP, Liu J et al.Conventional in-vitro fertilizationversusintracytoplamic sperm injection for patients requiring microsurgicalspermaspiration[J]. Hum Reprod,1994,9(9):1705～1709.
  • 7Jow WW, Steckel J, Schlegel PN et al. Motile sperm in human testisbiopsyspecimens[J]. J Androl,1993, 14(3):194～198.
  • 8Ostad M, Liotta D, Ye Z et al. Testicular sperm extraction fornonobstructiveazoospermia: results of a multibiopsy approach with optimized tissuedispersion[J].Urology,1998,52(4):692～697.
  • 9库卓华,吕年青.人精子在附睾中的成熟[J].中华男科学杂志,2001,7(1):1-9. 被引量：31
  • 10Schlegel PN, Berkeley AS, Goldstein M et al. Epididymal micropuncture within vitrofertilization and oocyte micromanipulation for the treatment ofunreconstructableobstructive azoospermia[J]. Fertil Steril,1994, 61(5):895～901.

二级参考文献82

  • 1[41] Lefevre A, Duquenne C, Rousseau-Merck MF et al. Cloning and characterization of SOB1, a new testis-specific cDNA encoding a human sperm protein probably involved in oocyte recognition[J]. Biochem Biophys Res Comm, 1999, 259: 60～66.
  • 2[42] Boué F, Duquenne C, Lassalle B et al. FLB1, a human protein of epididymal origin that is involved in the sperm-oocyte recognition process[J]. Biol Reprod, 1995, 52: 267～278.
  • 3[43] Osterhoff C, Kirchhoff C, Krull N et al. Molecular cloning and characterization of a novel human sperm antigen (HE2) specifically expressed in the proximal epididymis[J]. Biol Reprod, 1994, 50: 516～525.
  • 4[44] Kirchhoff C, Krull N, Pera I et al. A major mRNA of the human epididymis principal cells, HE5, encodes the leucocyte differentiation CDw52 antigen peptide backbone[J]. Mol Reprod Devel, 1993, 34: 8～15.
  • 5[45] Yeung CH, Schrter S, Wagenfeld A et al. Interaction of the human epididymal protein CD52 (HE5) with epididymal spermatozoa from men and cynomolgus monkeys[J]. Mol Reprod Devel, 1997, 48: 267～275.
  • 6[46] Focarelli R, Guiffrida A, Capparelli S et al. Specific localization in the equatorial region of gp20, a 20 kDa sialylglycoprotein of the capacitated spermatozoon acquired during epididymal transit which is necessary to penetrate zona-free hamster eggs[J]. Mol Hum Reprod, 1998, 4: 119～125.
  • 7[47] Hutter H, Hammer A, Blaschitz A et al. The monoclonal antibody GZS-1 detects a maturation-associated antigen of human spermatozoa that is also present on the surface of human mononuclear blood cells[J]. J Reprod Immunol, 1996, 30: 115～132.
  • 8[48] Diekman AB, Westbrook-Case VA, Naaby-Hansen S et al. Biochemical characterization of sperm agglutination antigen-1, a human sperm surface antigen implicated in gamete interactions[J]. Biol Reprod, 1997, 57: 1136～1144.
  • 9[49] Mahony MC, Alexander NJ. Sites of antisperm antibody action[J]. Hum Reprod, 1991, 6: 1426～1430.
  • 10[50] Kameda K, Tsuji Y, Koyoma K et al. Comparative studies of the antigens recognised by sperm-immobilising monoclonal antibodies[J]. Biol Reprod, 1992, 46: 349～357.

共引文献30

同被引文献245

引证文献49

二级引证文献265

中华男科学杂志
2001年 第2期

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