CAJ | 학술논문

目的：研究睾丸穿刺取精术对非梗阻性无精子症患者性功能的影响。方法：本研究选择的对象为125例非梗阻性无精子症患者，平均年龄28．2岁，均经过精液的离心检查之后，确定精液中无精子。125例非梗阻性无精子症患者均行睾丸穿刺手术，手术中报告：睾丸内有精子58例、睾丸内无精子67例。将125例非梗阻性无精子症患者均行睾丸穿刺手术，分别测定手术前、手术后两组患者体内的性激素血清卵泡刺激素（FSH）、黄体生成素（LH）、总睾酮（TT））水平、手术前后患者的勃起功能（IIEF-5）、手术前后患者的焦虑抑郁情况（HADS）。结果：（1）患者体内的性激素血清卵泡刺激素（FSH）、黄体生成素（LH）、总睾酮（TT））水平在治疗前后相比有显著性差异（P＜0.05）；（2）患者的勃起功能指数在治疗前后相比有显著性差异（P＜0．05）；（3）两组患者焦虑、抑郁评分在治疗前后相比有显著性差异（P＜0．05）。结论：睾丸穿刺取精术对非梗阻性无精子症患者体内的性激素水平、勃起功能以及患者的心理状况有显著性的影响。
목적：연구고환천자취정술대비경조성무정자증환자성공능적영향。방법：본연구선택적대상위125례비경조성무정자증환자，평균년령28．2세，균경과정액적리심검사지후，학정정액중무정자。125례비경조성무정자증환자균행고환천자수술，수술중보고：고환내유정자58례、고환내무정자67례。장125례비경조성무정자증환자균행고환천자수술，분별측정수술전、수술후량조환자체내적성격소혈청란포자격소（FSH）、황체생성소（LH）、총고동（TT））수평、수술전후환자적발기공능（IIEF-5）、수술전후환자적초필억욱정황（HADS）。결과：（1）환자체내적성격소혈청란포자격소（FSH）、황체생성소（LH）、총고동（TT））수평재치료전후상비유현저성차이（P＜0.05）；（2）환자적발기공능지수재치료전후상비유현저성차이（P＜0．05）；（3）량조환자초필、억욱평분재치료전후상비유현저성차이（P＜0．05）。결론：고환천자취정술대비경조성무정자증환자체내적성격소수평、발기공능이급환자적심리상황유현저성적영향。
To study the effect of testicular sperm aspiration puncture on the sexual function of patients with non-obstructive azoospermia.Methods:125 patients with non-obstructive azoospermia,with an average age of 28.2 years,were selected and checked to have no sperm in semen with a centrifugation of semen.All the 125 pa-tients underwent testicular biopsy surgery:58 cases were of testicular sperm,and 67 cases of testicular azoospermia. The patients were divided into two groups of sperm group and no sperm group.The levels of hormone serum follicle stimulating hormone (FSH),luteinizing hormone (LH)and total testosterone (TT))Horizontal as well as the e-rectile function (IIEF-5 )and HADS of patients in both groups before and after surgery was compared.Results:For both groups,(1 )difference in the levels of hormone serum follicle stimulating hormone (FSH),luteinizing hor-mone (LH)and total testosterone (TT))before and after treatment was significant (P<0.05);(2)difference in the index of erectile function before and after treatment was significant (P<0.05);(3)difference in the anxiety, depression scores before and after treatment was significant (P<0.05 ).Conclusion:Testicular sperm retrieval puncture technique exerts significant impact on the hormone levels,erectile function and psychological status of pa-tients with non-obstructive azoospermia.