卵胞质内单精子显微注射周期显微镜下睾丸切开取精术治疗非梗阻性无精子症患者的效果分析  

Effect of Testicular Spermatotomy under Intracytoplasmic Sperm Injection Cycle Microscope on Non-obstructive Azoospermia

作　　者：孟令波 MENG Lingbo(Affiliated Reproductive Hospital of China Medical University,Shenyang 110000,China)

机构地区：[1]中国医科大学附属生殖医院,辽宁沈阳110000

出　　处：《中国医药指南》2021年第12期59-60,共2页Guide of China Medicine

摘　　要：目的分析卵胞质内单精子显微注射(ICSI)周期显微镜下睾丸切开取精术治疗非梗阻性无精子症患者的效果。方法选取2017年1月至2019年1月于我院接受治疗的100例非梗阻性无精子症患者为对照组,另外选择同期利用经皮附睾穿刺取精术、经皮睾丸穿刺取精术、睾丸切开取精术取得精子的190例梗阻性无精子症患者为观察组。分析两组实施ICSI的结果情况。结果两组的2PN优秀胚胎率以及受精率比较,差异无统计学意义(P>0.05)。观察组精子获得率高于对照组,差异有统计学意义(P<0.05)。结论非梗阻性无精症所引发的不育可经过睾丸显微取精术取得有效精子。利用这种方法取得的精子经过ICSI处理能够获得临床妊娠。Objective To analyze the effect of testis incision and sperm extraction under ICSI cycle microscope in the treatment of non-obstructive azoospermia.Methods A total of 100 patients with non-obstructive azoospermia who received treatment in our hospital from January 2017 to January 2019 were selected as the control group,and 190 patients with obstructive azoospermia who received percutaneous epididymal sperm collection,percutaneous testicular sperm collection,and testicular spermatotomy sperm collection during the same period were selected as the observation group.The results of implementing ICSI in the two groups were analyzed.Results There was no significant difference in the 2PN excellent embryo rate and fertilization rate between the two groups(P>0.05).The sperm acquisition rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The effective sperm can be obtained by testicular microspermatography in non-obstructive azospermia infertility.Sperm obtained by this method can be treated with ICSI to obtain a clinical pregnancy.

关 键 词：不孕 无精子症 显微镜 睾丸切取精术 卵胞质内单精子显微注射 

分 类 号：R698.2[医药卫生—泌尿科学]