本文選題：睪丸固定 + 睪丸固定鉗��； 參考：《中華生殖與避孕雜志》2017年04期

【摘要】：目的評(píng)價(jià)睪丸固定鉗固定法在經(jīng)皮附睪穿刺取精術(shù)(PESA)中的應(yīng)用價(jià)值。方法選取初步診斷為梗阻性無(wú)精子癥患者532例,將其隨機(jī)分為三指固定法組(249例)和睪丸固定鉗組(283例),比較兩組PESA穿刺精子獲取率差異。另根據(jù)經(jīng)陰囊超聲附睪頭有無(wú)擴(kuò)張以及擴(kuò)張?zhí)卣鲗⒉±譃楦讲G頭細(xì)網(wǎng)狀擴(kuò)張亞組、附睪頭管狀/多囊管狀擴(kuò)張亞組和附睪頭無(wú)擴(kuò)張亞組,比較兩種PESA方法對(duì)不同附睪頭病變穿刺精子獲取率的差異。結(jié)果三指固定法組穿刺精子獲取率為60.64%(151/249),睪丸固定鉗組為74.56%(211/283),顯著高于三指固定法組(P0.05)。睪丸固定鉗組穿刺精子獲取率的優(yōu)勢(shì)主要由細(xì)網(wǎng)狀擴(kuò)張組貢獻(xiàn),該組三指固定法穿刺精子獲取率為72.67%(125/172),而睪丸固定鉗法為89.90%(178/198),顯著高于三指固定法組(P0.05)。管狀/多囊管狀擴(kuò)張亞組以及附睪頭無(wú)擴(kuò)張亞組2種PESA法穿刺精子獲取率都偏低,差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論使用睪丸固定鉗固定法對(duì)附睪頭細(xì)網(wǎng)狀擴(kuò)張的患者進(jìn)行PESA穿刺能提高精子獲取率。
[Abstract]:Objective to evaluate the value of testicular fixator fixation in percutaneous epididymal sperm extraction (PESA). Methods 532 patients with obstructive azoospermia were randomly divided into three finger fixation group (249 cases) and testis fixation forceps group (283 cases). According to the characteristics of dilatation and dilatation of the head of epididymis via scrotal ultrasound, the patients were divided into three groups: the head of epididymis with fine reticular dilatation, the tubular / polycystic head of epididymis and the head of epididymis without dilatation. To compare the difference between two PESA methods in obtaining sperm from different epididymal lesions. Results the rate of sperm acquisition was 60.64% (151 / 249) in the three-finger fixation group and 74.56% (211 / 283) in the testicular fixator group, which was significantly higher than that in the three-finger fixation group (P0.05). The advantages of testicular fixation forceps were mainly contributed by fine reticular dilatation group. The rate of spermatozoa obtained by three-finger fixation was 72.67% (125 / 172), while that of testicular fixation was 89.90% (178 / 198), which was significantly higher than that of three-finger fixation group (P0.05). In tubular / polycystic tubular dilatation subgroup and epididymal head without dilated subgroup, the rate of spermatozoa obtained by two kinds of PESA methods was lower than that of the control group (P0.05). Conclusion using testicular fixator fixation in patients with fine reticular dilatation of epididymis can improve the rate of spermatozoa.
【作者單位】： 廣西醫(yī)科大學(xué)第一附屬醫(yī)院男性科;
【分類號(hào)】：R698.2

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本文編號(hào)：2085563