经皮附睾、睾丸取精卵胞浆内显微注射治疗梗阻性无精子症

Intracytoplasmic Injection Using Sperm Aspirated from the Epididymis or Testis for Treatment of Obstructive azoospermia

目的 为探讨卵胞浆内精子显微注射技术（intracytoplasmicsperm injection ICSI）治疗梗阻性无精子症（Obstructive azoospermia OAS）的效果。方法 自 2001年1月～2001年7月采用经皮附睾精子抽吸术（percutaneousepididymal sperm aspiration PESA）、经皮睾丸细针抽吸术（fine needle aspiration FNA）对10例OAS患者进行了治疗。结果 3例妊娠,临床妊娠率 30.00％,其中 2例单胎妊娠为PESA取精,1例双妊娠为FNA取精,ICSI是治疗OAS的有效方法。

Objective ICSI for treatment of obstructive azoospermia. Methods The percutaneous epididmal sperm aspiration (PESA)、fine needle aspi-ration(FNA)and intracytoplasmic sperm injeclion(IC-SI) were used in ten patients with obstructive a-zoospermia(OAS). Results 3 clinical pregnancies occurred, with a pregnancy rate of 30.00%(3/10) Conclusion Our result reveals that PESA-ICSI、FNA -ICSI are effective methods for in infertile patients with OAS.