精液细胞学检查对非梗阻性无精子症睾丸穿刺取精术成功率的预测价值

Predictive value of semen cytology for for the success rate of testicular sperm aspiration in patients with non-obstructive azoospermia

目的探索精液细胞学检查对非梗阻性无精子症(NOA)患者睾丸穿刺取精术(TESA)成功率的预测价值。方法回顾性分析2018-2020年于该中心就诊的67例NOA患者的精液细胞学检查结果,根据是否存在不同发育阶段的生精细胞,分为甲组(发现处于不同发育阶段的生精细胞)和乙组(未发现处于不同发育阶段的生精细胞)。分别为甲、乙组患者实施TESA,比较2组患者手术成功率有无差异。结果甲组患者TESA成功率显著高于乙组,差异有统计学意义(P<0.05)。结论精液细胞学检查对NOA患者TESA成功率具有一定的预测价值。

Objective To explore the predictive value of semen cytology for testicular sperm aspiration(TESA)in patients with non-obstructive azoospermia(NOA).Methods Semen cytology results of 67 NOA patients treated in the center from 2018 to 2020 were retrospectively analyzed.According to the presence or absence of spermatogenic cells at different stages of development,they were divided into group A(spermatogenic cells at different stages of development were found)and group B(spermatogenic cells at different stages of development were not found).TESA was performed in group A and Group B,and the success rate of the operation was compared between the two groups.Results TESA success rate in group A was significantly higher than that in group B,with statistical significance(P<0.05).Conclusion Semen cytology has certain predictive value for TESA success rate in NOA patients.