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睾丸或附睾精子ICSI治疗无精子症
引用本文:王丽,陈家仙,胡雪梅,杨智敏.睾丸或附睾精子ICSI治疗无精子症[J].遵义医学院学报,2012,35(1):66-67,74.
作者姓名:王丽  陈家仙  胡雪梅  杨智敏
作者单位:遵义医学院附属医院生殖中心,贵州遵义,563000
摘    要:目的 比较睾丸和附睾精子ICSI治疗无精子症的临床效果.方法 分别用睾丸或附睾来源的精子进行ICSI,对其受精率、优质胚胎率、胚胎种植率和临床妊娠率等指标进行评价.结果 睾丸精子的受精率明显低于附睾精子的受精率(P <0.001),两者的优质胚胎率、胚胎种植率和临床妊娠率差异无显著性(P>0.05).结论 附睾精子较睾丸精子有更强的受精能力,但不影响治疗结局.

关 键 词:无精子症  精子  卵胞浆内单精子注射  手术取精

Intracytoplasmic sperm injection for azoospermia by using epididymal or testicular sperm
Wang li , Chen jiaxian , Hu xuemei , Yang zhimin.Intracytoplasmic sperm injection for azoospermia by using epididymal or testicular sperm[J].Acta Academiae Medicine Zunyi,2012,35(1):66-67,74.
Authors:Wang li  Chen jiaxian  Hu xuemei  Yang zhimin
Institution:(Centre of Reproductive Medicine,The Affiliated Hospital of Zunyi Medical College,Guizhou Zunyi,563000,China)
Abstract:Objective To compare the clinical results of intracytoplasmic sperm injection(ICSI) for azoospermia by using epididymal or testicular sperm.Methods The ICSI was performed using the sperm from epididymis or testis,respectively.The fertilization rate,the high quality embryo rate,the embryo implantation rate and the clinical pregnancy rate were evaluated.Results The fertilization rate from testicular sperm was obviously lower than that from epididymal sperm(P<0.001).However,there was no significant difference for the high quality embryo rate,the embryo implantation rate and the clinical pregnancy rate between the use of epididymal and testicular sperm(P>0.05).Conclusion The fertilization ability of epididymal sperm is better than that of testicular sperm,which couldn’t change the treatment outcome.
Keywords:azoospermia  sperm  intracytoplasmic sperm injection  surgical sperm retrieval
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