Scott R, Sinclair J, Rourke A, Chowdhury S, Yates A, Shaba J
Postgrad Med J. 1976 Nov;52(613):693-6. doi: 10.1136/pgmj.52.613.693.
The value of testicular biopsy in male infertility has recently been emphasized by Meinhard, McRae and Chisholm (1973), and the present authors agree with them that a biopsy is essential for the following reasons: (1) to establish a firm diagnosis; (2) to rationalize therapy on the basis of histological findings; (3) new developments in drug therapy and electronmicroscopic techniques will help to clarify many areas of doubt and uncertainty in this difficult field; (4) the diagnosis of 'sloughing' by itself may mask changes in germinal cell development which may be amenable to hormone therapy.
迈因哈德、麦克雷和奇泽姆(1973年)最近强调了睾丸活检在男性不育症中的价值,本文作者同意他们的观点,认为活检必不可少,原因如下:(1)确立确切诊断;(2)根据组织学检查结果使治疗合理化;(3)药物治疗和电子显微镜技术的新进展将有助于澄清这一难题领域中许多存疑和不确定的方面;(4)“脱落”的诊断本身可能掩盖生精细胞发育中的变化,而这些变化可能对激素治疗有反应。