CAJ | 학술논문

目的分析采用经皮附睾精子抽吸术(PESA)或经皮睾丸精子抽吸术(TESA)获得精子对不同生精功能无精子症进行卵泡浆内单精子注射(ICSI)治疗的妊娠结局.方法经PESA获得附睾精子,经TESA获得睾丸精子,女方进行常规超排卵.两种取精方法获得的精子进行ICSI,比较其妊娠率.结果 216次采用PESA获得附睾精子,87次采用TESA获得睾丸精子,PESA和TESA组的妊娠率分别为41.7%和43.7%,(P>0.05).随着生精功能状态从正常到重度生精功能障碍的变化,其妊娠率依次为:46.8%,41.6%,36.7%和16.7%.其中生精功能正常组与轻度和中度生精功能障碍组差异无统计学意义,但与重度生精功能障碍组差异均有统计学意义.结论采用PESA或TESA结合ICSI是治疗男性无精子症的有效方法,而且认为生精功能正常组和轻度及中度生精功能障碍三组无精子症患者均可试行ICSI.
목적 분석채용경피부고정자추흡술(PESA)혹경피고환정자추흡술(TESA)획득정자대불동생정공능무정자증진행란포장내단정자주사(ICSI)치료적임신결국.방법 경PESA획득부고정자,경TESA획득고환정자,녀방진행상규초배란.량충취정방법획득적정자진행ICSI,비교기임신솔.결과 216차채용PESA획득부고정자,87차채용TESA획득고환정자,PESA화TESA조적임신솔분별위41.7%화43.7%,(P>0.05).수착생정공능상태종정상도중도생정공능장애적변화,기임신솔의차위:46.8%,41.6%,36.7%화16.7%.기중생정공능정상조여경도화중도생정공능장애조차이무통계학의의,단여중도생정공능장애조차이균유통계학의의.결론 채용PESA혹TESA결합ICSI시치료남성무정자증적유효방법,이차인위생정공능정상조화경도급중도생정공능장애삼조무정자증환자균가시행ICSI.
Objective To analyze the outcomes of azoospemia patient with different spermatogenesis ability treated by intracytoplasmic injection with sperm from epididymis and testis.Methods Sperm retrieval were from epididymis by PESA and from testis by TESA,then the patients received ICSI for treatment of infertility.The rate of pregnancy was analyzed.Results The rates of pregnancy in PESA group and TESA group were 41.7%and 43.7% respectively(P>0.05).According to spermatogenesis ability,the rates of pregnancy were changed as follows:48.9%,40.6%,34.0%and 14.3%.There were no significant differences in the rate of pregnancy among the normal groups.the mild group with spermatogenic dysfunction and the moderate group with spermatogenic dysfunction,but significant difference between the severe group with spermatogenic dysfunction and other groups.Conclusion The combination of ICSI with PESA or TESA might be an effective way to treat azoospermia patients with normal,mild and moderate spermatogenic dysfunction.