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目的探讨经皮附睾精子细针抽吸术在无精子症诊断中的应用。方法对59例无精子症患者施行经皮附睾精子细针抽吸术,同时测定患者的血清卵泡刺激素水平和睾丸体积,对结果进行统计学分析。结果 59例患者中30例在附睾液中发现精子,29例未发现精子。在附睾液发现精子的患者中睾丸体积正常28例,偏小2例。而在附睾液中未发现精子的患者中,睾丸体积正常17例,偏小12例。在有精子的患者中,血清卵泡刺激素水平增高3例,正常27例。而无精子的患者中,血清卵泡刺激素水平增高10例,正常19例。结论经皮附睾精子细针抽吸术具有操作简便、创伤小的优点,可有效地应用于无精子症的诊断。穿刺取精成功率与睾丸体积、血清卵泡刺激素水平有关。
Objective To investigate the application of percutaneous epididymal sperm aspiration in the diagnosis of azoospermia. Methods 59 cases of patients with azoospermia percutaneous epididymal sperm aspiration, while the determination of serum levels of follicle stimulating hormone and testicular volume, the results were statistically analyzed. Results Of the 59 patients, 30 showed sperm in epididymal fluid and 29 did not find sperm. In the epididymal sperm testicular volume in patients with normal 28 cases, small in 2 cases. In the epididymal fluid was not found in patients with sperm, normal testicular volume in 17 cases, 12 cases of small. In patients with sperm, serum follicle stimulating hormone levels increased in 3 cases, normal 27 cases. In patients without sperm, serum follicle stimulating hormone levels increased in 10 cases, normal 19 cases. Conclusion Percutaneous epididymal sperm aspiration has the advantages of simple operation and small trauma, which can be effectively used in the diagnosis of azoospermia. The success rate of puncture and sperm retrieval and testicular volume, serum levels of follicle-stimulating hormone.