新型多孔睾丸穿刺针在睾丸取精中的应用  

A new puncture needle with multiple holes for testicular sperm extraction

作　　者：王洪华[1] 蔡立义[1] 熊芳[1] 杨炜敏[1] 俞红英[1] 宋晓庆[1] 周萍[1] 胡玲卿[1] 周小金[1] 

机构地区：[1]南京医科大学附属无锡妇幼保健院生殖医学中心,江苏无锡214002

出　　处：《中华男科学杂志》2013年第9期802-805,共4页National Journal of Andrology

基　　金：无锡市医院管理中心重大项目(YGZZ1107)~~

摘　　要：目的:评估新型多孔睾丸穿刺针睾丸取精法在男性不育症中的取材效果。方法:215例无精子症患者需施行睾丸穿刺取精或取材,其中选用自制的多孔睾丸穿刺针取材133例、传统切开法37例、细针抽吸法45例。结果:多孔睾丸穿刺针穿刺法穿刺一次成功率100%,切开法一次成功率100%,细针抽吸法一次成功率19%。术后并发症情况:切开法术后并发症发生率为21.6%(8例),其中切口出血1例,阴囊红肿4例,睾丸硬结1例,睾丸肿痛2例;细针抽吸法术后并发症发生率为11.1%(5例),其中阴囊红肿4例,睾丸肿痛1例;而多孔睾丸穿刺针法术后并发症发生率为3.0%(4例),其中阴囊红肿3例,睾丸肿痛1例,同其他两种穿刺方法术后并发症发生率相比,差异有显著性(P<0.05)。结论:新型多孔睾丸穿刺针取精具有精确、一次穿刺成功率高、微创及并发症少等优点,值得临床推广运用。Objective： To evaluate a new puncture needle with multiple holes （National Invention Patent of China： ZL 2010202466554 ） in testicular sperm extraction for infertile males. Methods ： This study included 215 azoospermia patients, who un- derwent testicular sperm extraction with a new puncture needle with multiple holes （group A, n = 133 ） , by open biopsy （group B, rr = 37） , or with a fine needle （group C, n = 45）. Results： The first-time success rate was 100% in group A, 19% in B and 100% in C. The average operation time was obviously shorter in group A （ [3 ± 1 ] rain） than in B （ [ 15 ±31 min） and C （ [7 ±2] rain）. The rate of postoperative complications was 3.0% in group A, significantly lower than in B （21.6%） and C （11.1% ）. Conclusion ： The new puncture needle with multiple holes, with its advantages of accuracy, high first-time success rate, minimal invasive-ness and low rate of complications, deserves to be generally applied in testicular sperm extraction.

关 键 词：睾丸穿刺 睾丸取精 男性 不育 

分 类 号：R698.2[医药卫生—泌尿科学]