CAJ | 학술논문

目的：探讨梗阻性无精子症经闭合式穿刺取精行ICSI治疗的临床效果。方法选取我院行外科闭合式穿刺取精术274例，A组睾丸穿刺取精164例，B组附睾穿刺取精110例，对上述病例的临床资料进行回顾性分析。结果睾丸体积正常的取精成功率高于睾丸体积偏小者， P＜0.05，差异具有统计学意义。血清促卵泡刺激素（FSH）水平正常的取精成功率高于FSH增高者，P＜0.05，差异具有统计学意义。对比睾丸穿刺组与附睾穿刺组比较术后并发症发生率和术后恢复时间，P＜0.05，差异具有统计学意义。结论睾丸穿刺取精术操作简单创伤较小，术后并发症轻，感染、水肿及出血率均低于附睾穿刺取精，且术后恢复时间短。
목적：탐토경조성무정자증경폐합식천자취정행ICSI치료적림상효과。방법선취아원행외과폐합식천자취정술274례，A조고환천자취정164례，B조부고천자취정110례，대상술병례적림상자료진행회고성분석。결과고환체적정상적취정성공솔고우고환체적편소자， P＜0.05，차이구유통계학의의。혈청촉란포자격소（FSH）수평정상적취정성공솔고우FSH증고자，P＜0.05，차이구유통계학의의。대비고환천자조여부고천자조비교술후병발증발생솔화술후회복시간，P＜0.05，차이구유통계학의의。결론고환천자취정술조작간단창상교소，술후병발증경，감염、수종급출혈솔균저우부고천자취정，차술후회복시간단。
Objective To explore the clinical effect on 274 cases with obstructive azoospermatism close needle aspiration of ICSI. Methods Selected 274 cases with surgical closure type piercing fine extraction in our hospital, 164 cases of group A piercing testicular, group B epididymis puncture in 110 cases, retrospectively analyzed the clinical data of the above cases. Results The volume normal testicular sperm extraction for managing the success rate was higher than testicular volume by outsiders, P<0.05, had difference statistically signiifcance. Serum cu follicle-stimulating hormone (FSH) levels were normal for ifne success rate increased higher than that of FSH, P<0.05, had difference statistically signiifcance. While testicular biopsy and epididymis puncture group less postoperative complications and postoperative recovery time, P<0.05, had difference statistically signiifcance. Conclusion Puncture testicular sperm extraction for managing the operation is simple and less trauma, postoperative complications, infection, edema and hemorrhage rate were lower than that of epididymis puncture in essence, and postoperative recovery time is short.