病理印片细胞学技术在显微睾丸取精术中的应用  

Application of pathologic print cytology in microsurgical testicular sperm extraction

作　　者：王翠翠 李芃 宋世威 杨程程 WANG Cuicui;LI Peng;SONG Shiwei;YANG Chengcheng(Department of Pathology,Shenyang Jinghua Hospital,Shenyang 110005,Liaoning,China;Department of Andrology,Shenyang Jinghua Hospital,Shenyang 110005,Liaoning,China)

机构地区：[1]沈阳菁华医院病理科,沈阳110005 [2]沈阳菁华医院男科,沈阳110005

出　　处：《中国性科学》2023年第8期1-5,共5页Chinese Journal of Human Sexuality

摘　　要：目的探讨病理印片细胞学技术在男性不育症患者显微睾丸取精术中的临床意义和价值。方法回顾性分析2017年12月至2022年8月沈阳菁华医院收治的246例在进行显微睾丸取精术的同时行印片细胞学检查的男性不育症患者的临床资料。比较分析其与实验室结果、后期睾丸组织活检结果的符合率。睾丸组织活检结果依据睾丸生殖病理及Johnsen评分法进行诊断。结果显微睾丸取精术中印片细胞学检查结果与实验室结果的符合率为91.87%,与组织活检结果的符合率为91.06%。显微睾丸取精术中印片细胞学检查精子检出率为24.39%,生精细胞检出率为28.46%。结论在显微睾丸取精术中同时行印片细胞学检查操作快速,配合实验室结果,可为临床医生提供更多信息,为更好地查找精子提供依据。Objective To investigate the clinical significance and value of pathologic print cytology in microsurgical testicular sperm extraction(micro-TESE)in male infertility patients.Methods The clinical data of 246 cases of male infertility patients admitted to Shenyang Jinghua Hospital from December 2017 to August 2022 who underwent micro-TESE and print cytology examination were retrospectively analyzed.The coincidence rate with laboratory results and later testicular biopsy results was compared and analyzed.The results of testicular biopsy were diagnosed according to testicular reproductive pathology and Johnsen score.Results The coincidence rate of print cytology results in micro-TESE with laboratory result was 91.87%,and with tissue biopsy results was 91.06%.The detection rate of spermatozoa and spermatogenic cells was 24.39%and 28.46%respectively.Conclusions Print cytology during micro-TESE is a fast operation.Together with laboratory results,it can provide more information for clinicians and provide a basis for better sperm search.

关 键 词：生殖 男性不育 细胞学 

分 类 号：R697[医药卫生—泌尿科学]