不同穿刺针应用于睾丸穿刺取精术的比较  

Comparative study of testicular sperm aspiration by different needles

作　　者：陈冰[1] 周美青[2] 李红[1] 史轶超[1] 庄建平[2] 杨慎敏[1] 

机构地区：[1]南京医科大学附属苏州医院生殖与遗传中心,江苏苏州215002 [2]南京医科大学附属苏州医院泌尿外科

出　　处：《临床泌尿外科杂志》2014年第8期706-708,共3页Journal of Clinical Urology

基　　金：苏州市"科教兴卫"青年科技项目(编号KJXW2013025)

摘　　要：目的：比较三种不同穿刺针用于睾丸穿刺取精术（TESA）的效果和并发症,以助于临床选择。方法：先后使用1.6侧孔针、0.7蝶形针和1.2侧孔针对188例无精子症患者实施TESA,分别为102例、41例和45例。比较各自穿刺针数及1周内阴囊血肿、感染的发生率。结果：三种穿刺针术后1周内均未见明显并发症。采用1.6侧孔针进行1~3次穿刺,99例获得足够睾丸组织。0.7蝶形针获得满意组织,梗阻性无精子症（OA）患者需要（3.62±0.80）次穿刺,非梗阻性无精子症（NOA）患者需要（5.50±1.10）次。1.2侧孔针用于OA和NOA患者分别需要穿刺（1.95±0.69）次和（2.92±1.15）次。0.7蝶形针穿刺次数多于1.2侧孔针（P〈0.05）。NOA患者比OA更难穿刺获得睾丸组织（P〈0.05）。结论：OA和NOA患者以0.7蝶形针行TESA术,均需要比1.6和1.2侧孔针更多的穿刺针数,可能增加潜在并发症。拟行TESA的NOA患者,建议采用1.2侧孔针。Objective：To compare the outcomes of testicular sperm aspiration（TESA）by three different puncture needles so as to find a suitable choice.Method：A total of 188 azoospermia men undergone TESA including102 cases by 1.6side-hole needle,41 cases by 0.7butterfly needle,and 45 cases by 1.2side-hole needle.We compared the incidence of scrotal hematoma and infection among three groups within a week after the procedure.Result：No obvious complication occurred within a week.After 1-3puncture attempts by 1.6side-hole needle,99 cases got adequate testicular tissue.By 0.7butterfly needle（3.62 ±0.80）attempts were made for obstructive azoospermia（OA）cases to obtain adequate samples,and（5.50±1.10）attempts for non-obstructive azoospermia（NOA）cases.By 1.2side-hole needle,the attempts were（1.95±0.69）and（2.92±1.15）for OA and NOA cases respectively.There were more attempts by 0.7butterfly needle than by 1.2side-hole needle（P〈0.05）.It was more difficult for NOA cases to get testicular tissue than OA patients（P〈0.05）.Conclusion：It need more puncture attempts to apply TESA by 0.7butterfly needle,thus it increases the chances of complications.For NOA patients undergone TESA,1.2side-hole needle is recommended.

关 键 词：无精子症 睾丸穿刺取精术 穿刺针 侧孔注射针 

分 类 号：R698.2[医药卫生—泌尿科学]