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目的:探讨睾丸穿刺取精术(TESA)睾丸标本病理学检查的价值。方法:分析96例TESA睾丸组织倒置显微镜下检查和病理学检查结果,比较两种方法对睾丸组织是否存在精子的诊断价值。结果:11例镜检有精子患者中病理检查9例有精子,2例无精子;57例镜检未见精子患者中,病理检查发现11例有精子(19.30%)。镜检未见精子的睾丸病理类型分别为唯支持细胞综合征34例,精子成熟停滞12例,生精功能低下11例。结论:TESA睾丸组织镜下未见精子者,病理学检查可能发现精子,并为再次睾丸取精提供参考。
Objective: To investigate the value of testicular biopsy (TESA) testicular pathology. Methods: 96 cases of TESA testis under inverted microscope examination and pathological examination results were compared between the two methods of testicular tissue sperm diagnostic value. Results: Among the 11 cases with sperm, 9 cases had spermatozoa and 2 cases had no sperm in pathological examination. Among the 57 cases without sperm examination, 11 cases had sperm (19.30%) in pathological examination. Microscopic examination of spermatozoon-free testicular pathological types were only support cell syndrome in 34 cases, 12 cases of sperm maturation, dysfunctional sperm in 11 cases. Conclusion: No spermatozoa are found under the microscope of TESA testis. Sperm may be found in pathological examination and provide reference for further testicular sperm taking.