Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration by fine needle in diagnosis of azoospermia

GUI Wen-wu; et al

doi:10.13406/j.cnki.cyxb.2010.09.020

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Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration by fine needle in diagnosis of azoospermia

更新时间：2024-01-17

- Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration by fine needle in diagnosis of azoospermia
- Journal of Chongqing Medical University Vol. 35, Issue 9, Pages: 1439-1441(2010)
- 作者机构：
  
  重庆医科大学附属第一医院妇产科辅助生殖中心
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2010.09.020
  CLC： R698.2
- Published：2010，
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[1]桂文武,丘彦,蒲军,幸贵邦,陈莹,孟江萍.经皮附睾和睾丸细针穿刺抽吸术在诊断无精子症中的应用[J].重庆医科大学学报,2010,35(09):1439-1441.

GUI Wen-wu, et al. Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration by fine needle in diagnosis of azoospermia. [J]. Journal of Chongqing Medical University 35(9):1439-1441(2010)
[1]桂文武,丘彦,蒲军,幸贵邦,陈莹,孟江萍.经皮附睾和睾丸细针穿刺抽吸术在诊断无精子症中的应用[J].重庆医科大学学报,2010,35(09):1439-1441. DOI： 10.13406/j.cnki.cyxb.2010.09.020.

GUI Wen-wu, et al. Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration by fine needle in diagnosis of azoospermia. [J]. Journal of Chongqing Medical University 35(9):1439-1441(2010) DOI： 10.13406/j.cnki.cyxb.2010.09.020.

摘要

目的:研究经皮附睾（Percutaneous epididymalsperm aspiration

PESA）和睾丸细针穿刺抽吸术（Testicular sperma spiration

TESA）在无精子症诊断中的应用价值。方法:在诊断为无精子症的患者中

经睾丸体积测定、血清性激素水平、生殖系统B超等检查后

选择符合穿刺条件者168例

用细针于局麻下行PESA或PESA+TESA（PESA/TESA）

对抽吸获得组织显微镜下检查。结果:PESA/TESA结果显示

168例中未见精子41例（22.4%）。PESA/TESA联合睾丸体积、血清FSH水平

对无精子症进行诊断符合率为91.3%。结论:PESA/TESA细针操作简单且创伤小

是诊断无精子症的可靠方法。

Abstract

Objective:To investigate the value of percutaneous epididymal sperm aspiration(PESA) and testicular sperm aspiration(TESA) by fine needle aspiration in diagnosis of azoospermia.Methods:Azoospermia was diagnosed in 168 patients after detection of centrifuged seminal fluid.After examinationsof testis volume

serum gonadal hormone level

seminalplasma biochemicalparameters and B ultrasound of genital system

PESA or PESA+ESA(PESA/TESA) was performed by fine needle.Histopathologic examination and sperm count were conducted for tissues available.Results:Azoospermia were diagnosed in 41(22.4%) patients by PESA/TESA.The correspon dence rates of PESA/TESA combined with examinations of testis volume

serum FSH level for azoospermia were 91.3%.Conclusions:PESA/TESA by fine needle is a convenient

minimally invasive and reliable method in the diagnosis of azoospermia.

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无精子症

Keywords

Percutaneous epididymal sperm aspirationTesticular sperm aspirationAzoospermia

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

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College of Public Health,Chongqing Medical University

重庆医科大学附属第一医院泌尿外科

Department of Urology,the First Affiliated Hospital,Chongqing Medical University

重庆医科大学附属第一医院辅助生殖中心

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