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我院从1992年6月～1993年6月,男性咨询门诊诊断的350例原发不育病人中,无精子症30例,占不育病人的8.6％。本文根据体检,精液常规,血生殖内分泌,部份病人作了血核型染色体和/或睾丸活检资料,对无精子症诊断中的一些问题进行分析讨论。 临床资料 30例无精子症病人年龄23～45岁,平均年龄28岁。不育时间2～10年,平均4年。精液常规检查均3次以上,有的经离心均未见精子。体检精索静脉曲张3例,双隐睾症4例。睾丸体积测量2ml以下6例,3～5ml10例,6～8ml18例,8ml以上6例。生殖内分泌检查结果如下:血FSH、LH均升高(血FSH35～84U/L;LH35～150IU/L),T下降或低水平(1.19～15nmol/L)共9例;血FSH、LH、PRL均升高2例(FSH分别为79IU/L,60IU/L。LH分别为102IU/L,39IU/L。PRL分别为1630pmol/L,1276pmol/L);血FSH(60.0IU/L,),LH(39IU/L),T(599nmol/L)均显示升高1例;血FSH(<5IU/L),LH(3.7IU/L),T(13nmol/L)均显示下降1
Our hospital from June 1992 to June 1993, male consultation outpatient diagnosis of 350 cases of primary infertility patients, 30 cases of azoospermia, accounting for 8.6% of infertile patients. In this paper, according to physical examination, semen routine, blood reproductive and endocrine, some patients made blood type chromosome and / or testicular biopsy data, the diagnosis of azoospermia in the analysis of some of the issues discussed. Clinical data 30 cases of azoospermia patients aged 23 to 45 years, mean age 28 years. Infertility time 2 to 10 years, an average of 4 years. Sperm routine examination were more than 3 times, and some have not seen by centrifugation of sperm. Physical examination of varicocele in 3 cases, double cryptorchidism in 4 cases. Testicular volume measurement in 2ml following 6 cases, 3 ~ 5ml 10 cases, 6 ~ 8ml 18 cases, 8ml above 6 cases. Reproductive endocrine examination results were as follows: blood FSH, LH were elevated (blood FSH35 ~ 84U / L; LH35 ~ 150IU / L), T decreased or low level (1.19 ~ 15nmol / L) (FSH 79IU / L, 60IU / L.LH 102IU / L, 39IU / L.PRL respectively 1630pmol / L, 1276pmol / L); blood FSH 60.0IU / L, LH (39IU / L) and T (599nmol / L) showed an increase of 1 case. Blood FSH (<5IU / L), LH (3.7IU / L) and T (13nmol / L)