Improvement of percutaneous epididymal sperm aspiration and testicular sperm extraction,and application to the diagnosis and treatment of azoospermia

FANG Lei-chen; et al

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Improvement of percutaneous epididymal sperm aspiration and testicular sperm extraction,and application to the diagnosis and treatment of azoospermia

更新时间：2024-01-17

- Improvement of percutaneous epididymal sperm aspiration and testicular sperm extraction,and application to the diagnosis and treatment of azoospermia
- Journal of Chongqing Medical University Vol. 34, Issue 9, Pages: 1209-1210(2009)
- 作者机构：
  
  1. 重庆医科大学附属第一医院泌尿外科
  2. 重庆医科大学附属第一医院辅助生殖中心
- 作者简介：
- 基金信息：
- DOI：
  CLC： R698.2
- Published：2009，
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[1]房磊臣,付劲草,吴小候,幸贵邦,桂文武,周永芳.经皮附睾和睾丸精子获取术的方法改进及在无精子症诊断和治疗的应用[J].重庆医科大学学报,2009,34(09):1209-1210.

FANG Lei-chen, et al. Improvement of percutaneous epididymal sperm aspiration and testicular sperm extraction,and application to the diagnosis and treatment of azoospermia. [J]. Journal of Chongqing Medical University 34(9):1209-1210(2009)
[1]房磊臣,付劲草,吴小候,幸贵邦,桂文武,周永芳.经皮附睾和睾丸精子获取术的方法改进及在无精子症诊断和治疗的应用[J].重庆医科大学学报,2009,34(09):1209-1210. DOI：

FANG Lei-chen, et al. Improvement of percutaneous epididymal sperm aspiration and testicular sperm extraction,and application to the diagnosis and treatment of azoospermia. [J]. Journal of Chongqing Medical University 34(9):1209-1210(2009) DOI：

摘要

目的:研究附睾精子抽吸术和睾丸精子获取术的方法改进及对无精子症患者的诊断和治疗价值。方法:应用改进的经皮附睾精子抽吸术（Pereutaneous epididymal sperma spiration

PESA）和睾丸精子获取术（Testicular sperm extraction

TESE）对218例无精子症患者进行穿刺检查。结果:其中94例附睾抽吸液中存在精子（43.12%）;28例患者睾丸中存在精子（12.84%）;对其中16例附睾或睾丸中发现精子的患者采取PESA或TESE取精后行卵细胞胞质内单精子注射（Intracytoplasmic sperm injection

ICSI）治疗。胚胎移植后妊娠率为37.50%。结论:PESA和TESE的改进方法为部分无精子症患者提供了更为安全的获精方式

是针对无精子症有效的治疗手段。

Abstract

Objective:To evaluate the improvement of pereutaneous epididymal sperm aspiration(PESA)and testicular sperm extraction(TESE) and the therapy value in the diagnosis and treatment of azoospermia. Methods:We examined 218 azoospermia patients by the techniques of PESA and TESE.Results:Of the total number of the azoospermia patients

94(43.12%)had sperm in the epididymis and 28(12.84%)in the testis.Intracytoplasmic sperm injection (ICSI) was applied to 16 patients with sperm in the epididymis or testis after sperm extraction.The pregnancy rate after the embryo transfer was 37.5%. Conclusion:The improvement of the PESA and TESE can provide safer chances of procreation to azoospermia patients with partial obstruction and effective therapies for azoospermia.

关键词

经皮附睾精子抽吸术睾丸精子获取术无精子症卵细胞胞质内单精子注射

Keywords

Percutaneous epididymal sperm asperationTesticular sperm extractionAzoospermiaIntracytoplasmic sperm injection

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