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目的 探讨精液中生精细胞阳性能否预测非阻塞性无精子症患者睾丸手术获精率.方法 以2014年1月-2017年9月在中山市博爱医院就诊的男性不育患者为研究对象,检测其精子浓度及精液中的生精细胞.根据病史、体格检查、实验室检查及睾丸组织学或细胞学检测结果综合分析对无精子症进行分类.非阻塞性无精子患者根据其精液中生精细胞阳性与否进行分组:组一:精液中生精细胞阳性;组二:精液中生精细胞阴性.采用睾丸抽提取精术进行手术取精.分析精液中生精细胞阳性与否预测手术获精率的价值.结果 本研究共28例非阻塞性无精子症患者,精液中生精细胞检测阳性者21例,占75％;生精细胞阴性者7例,占25％.21例精液中生精细胞阳性者手术获得成熟精子4例,占19％;7例精液中生精细胞阴性者手术获得成熟精子3例,占42％.两组间获精率比较,差异无统计学意义(P=.318.).结论 精液中生精细胞阳性与否,不能预测非阻塞性无精子症患者手术是否成功获精.“,”Objective:To discuss the value of the detection of seminal spermatogenic cells in non-obstructive azoospermia patients to predict testicular sperm recovery rate.Methods:The infertile patients attending Zhongshan Boai Hospital during January 2014 to September 2017 were studied.The sperm concentration and spermatogenic cells in semen were detected.The classification of azoospermia was based on medical history,physical examination,laboratory examinations,and testicular histological or cytological findings.Non-obstructive azoospermia patients were grouped according to seminal spermatogenic cells positive or not.Group A:seminal spermatogenic cells were positive;Group B:seminal spermatogenic cells negative.The testicular sperm extraction were done for sperm retrieval.The value of the detection of seminal spermatogenic cells to predict testicular sperm recovery rate was analysed.Results:28 non-obstructive azoospermia patients were analysed.Seminal spermatogenic cells were positive in 21 cases,accounting for 75％;And negative in 7 cases,accounting for 25％.4 cases out of the 21 cases with seminal spermatogenic cells positive were surgically found sperm,accounting for 19％;3 cases out of the 7 cases with seminal spermatogenic cells negative not found sperm,accounting for 42％.There was no significant difference on the sperm recovery rate between the two groups (P=.318.) Conclusions:That seminal spermatogenic cells positive or not,can't predict successful testicular sperm recovery in non-obstructive azoospermia patients.