无手术刀输精管精子抽吸术及体外受精治疗不射精症
No-scalpel vasal sperm aspiration and in vitro fertilization for the treatment of anejaculation.
作者信息
Chiang H, Liu C, Tzeng C, Wei H
机构信息
Department of Urology, Taipei Medical College, Taipei, Taiwan, People's Republic of China.
出版信息
Urology. 2000 Jun;55(6):918-21. doi: 10.1016/s0090-4295(00)00466-0.
OBJECTIVES
To evaluate the utility of no-scalpel vasal sperm aspiration and in vitro fertilization for the treatment of male infertility due to anejaculation.
METHODS
Vasal aspiration was performed using a no-scalpel technique, and the sperm were used for conventional in vitro fertilization in 1 patient and intracytoplasmic sperm injection in 6 patients.
RESULTS
The average total sperm count was 6 x 10(6), with the motility between 20% and 95%. No complications have been observed to date. A high fertilization rate (74.6%) and pregnancy rate (5 of 7) was achieved with subsequent intracytoplasmic sperm injection or in vitro fertilization.
CONCLUSIONS
No-scalpel vasal sperm aspiration is a simple, effective alternative to sperm retrieval, especially for anejaculatory males.
目的
评估无手术刀输精管精子抽吸术及体外受精治疗不射精所致男性不育症的效用。
方法
采用无手术刀技术进行输精管抽吸，1例患者的精子用于常规体外受精，6例患者的精子用于卵胞浆内单精子注射。
结果
平均总精子数为6×10⁶，活力在20%至95%之间。迄今为止未观察到并发症。后续卵胞浆内单精子注射或体外受精实现了高受精率（74.6%）和妊娠率（7例中有5例）。
结论
无手术刀输精管精子抽吸术是一种简单、有效的获取精子的替代方法，尤其适用于不射精男性。
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