针吸细胞学检查对无精症睾丸的诊断价值

目的　探讨细针吸取细胞学 (FNAC)检查对无精症睾丸的诊断价值。方法　对 5 0例无精症睾丸进行了FNAC检查 ,同时进行了手术活检 ,光镜下观察针吸涂片的细胞学表现。结果　FNAC与手术活检的诊断符合率为86 %。在生精上皮变化中 ,FNAC呈混合性改变者为 6 4 % ,手术活检呈混合性改变者为 4 2 %。结论　FNAC取材广泛、所取组织代表性强 ,能客观地反映睾丸曲细精管上皮的变化 ,但不能判断曲细精管界膜和睾丸间质的变化

Evaluation of fine needle aspiration cytology on testis of azoospermia disease

Objective To explore the evaluation of fine needle aspiration cytology (FNAC) on testis of azoospermia disease. Methods Pathological diagnosis was made by biopsy in all the patients.Results The diagnotic coincidence tate of FNAC and biopsy was 86%(in 43 cascs). For the features of spermatogenic epithelium,64% of the cases were the complicated type in FNAC,42% in operative pathological diagnosis. Conclusion With FNAC we can widely obtain the specimen which can objectively show the cytological features of spermatogenic epithelium in the seminiferous tubules of testis, but none of interstitial tissue and basement menbrane.