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

桂文武; 丘彦; 蒲军; 幸贵邦; 陈莹; 孟江萍

doi:10.13406/j.cnki.cyxb.2010.09.020

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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

临床研究 | 更新时间：2024-01-17

- 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
- Application of percutaneous epididymal sperm aspiration and testicular sperm aspiration by fine needle in diagnosis of azoospermia
- 重庆医科大学学报 2010年35卷第9期页码：1439-1441
- 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
  中图分类号： R698.2
- 纸质出版日期：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, 2010,35(9):1439-1441.
[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, 2010,35(9):1439-1441. 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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