| 经皮附睾和睾丸穿刺精子抽吸术在无精子症鉴别诊断中的应用 |
| |
| 引用本文： | 王毓斌,陈斌,王鸿祥,韩银发,郑菊芬,胡凯,王益鑫,黄翼然.经皮附睾和睾丸穿刺精子抽吸术在无精子症鉴别诊断中的应用[J].上海交通大学学报(医学版),2009,29(3). |
| |
| 作者姓名： | 王毓斌 陈斌 王鸿祥 韩银发 郑菊芬 胡凯 王益鑫 黄翼然 |
| |
| 作者单位： | 上海交通大学,医学院仁济医院泌尿外科,上海市男科学研究所,上海,200001
|
| |
| 基金项目： | 上海市人口和计划生育委员会科研基金 |
| |
| 摘 要： | 目的 研究经皮附睾穿刺精子抽吸术(PESA)和睾丸穿刺精子抽吸术(TESA)在梗阻性与非梗阻性无精子症鉴别诊断中的应用价值.方法经3次或3次以上精液离心未发现精子而诊断为无精子症的149例患者,经睾丸体积测定、血清性激素水平和精浆生化指标检测、生殖系统B超等术前检查后,于局麻下行PESA或PESA+TESA(PESA/TESA),对抽吸获得组织进行组织病理学检查和精子计数分析;对其中睾丸体积和血清促卵泡激素(FSH)水平正常者加行睾丸切开活检,进一步评价生精功能.结果 PESA/TESA结果显示,149例中梗阻性无精子症82例(55%),非梗阻性无精子症67例(45%).PESA/TESA联合睾丸体积、血清FSH水平和精浆果糖等指标,对梗阻性与非梗阻性无精子症进行鉴别诊断的符合率分别为98.2%和78.8%.35例患者行睾丸切开活检,病理学检查结果与PESA/TESA结果一致.结论 PESA/TESA操作简单且创伤小,是对梗阻性与非梗阻性无精子症进行鉴别诊断的可靠方法.
|
| 关 键 词： | 经皮附睾穿刺精子抽吸术 经皮睾丸穿刺精子抽吸术 鉴别诊断 梗阻性 非梗阻性 无精子症 |
Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration in differential diagnosis of azoospermia |
| |
| WANG Yu-bin,CHEN Bin,WANG Hong-xiang,HAN Yin-fa,ZHENG Ju-fen,HU Kai,WANG Yi-xin,HUANG Yi-ran.Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration in differential diagnosis of azoospermia[J].Journal of Shanghai Jiaotong University:Medical Science,2009,29(3). |
| |
| Authors: | WANG Yu-bin CHEN Bin WANG Hong-xiang HAN Yin-fa ZHENG Ju-fen HU Kai WANG Yi-xin HUANG Yi-ran |
| |
| Institution: | Department of Urology;Shanghai Institute of Andrology;Renji Hospital;School of Medicine;Shanghai Jiaotong University;Shanghai 200001;China |
| |
| Abstract: | Objective To investigate the value of percutaneous epididymal sperm aspiration (PESA) and testicular sperm aspiration (TESA) in the differential diagnosis of obstructive azoospermia (OA) and non-obstructive azoospermia (NOA). Methods Azoospermia was diagnosed in 149 patients after detection of centrifuged seminal fluid on at least three occasions. After examinations of testis volume,serum gonadal hormone level,seminal plasma biochemical parameters and B ultrasound of genital system,PESA or PESA+TESA(PESA/TE... |
| |
| Keywords: | percutaneous epididymal sperm aspiration testicular sperm aspiration differential diagnosis obstructive non-obstructive azoospermia |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
