Klami Rauni, Mankonen Harri, Perheentupa Antti
Department of Obstetrics and Gynecology, Turku University Hospital, Turku, Finland.
Department of Obstetrics and Gynecology, Turku University Hospital, Turku, Finland.
Reprod Biol. 2018 Jun;18(2):137-142. doi: 10.1016/j.repbio.2018.03.003. Epub 2018 Mar 27.
Non-obstructive azoospermia (NOA) is the most severe form of male infertility, defined by lack of spermatozoa in the ejaculate caused by impaired spermatogenesis. The chance of biological fatherhood of these men has been improved since the introduction of microdissection testicular sperm extraction (MD-TESE) combined with intracytoplasmic sperm injection. A thorough patient evaluation preoperatively is essential to recognize any underlying conditions, and to assist in patient counseling on the sperm recovery rate and pregnancy results. This review article summarizes the present data on MD-TESE to reach optimal results is treating men with NOA.
非梗阻性无精子症（NOA）是男性不育最严重的形式，其定义为由于精子发生受损导致射精中缺乏精子。自从显微切割睾丸精子提取术（MD-TESE）联合卵胞浆内单精子注射术应用以来，这些男性成为生物学父亲的机会有所增加。术前对患者进行全面评估对于识别任何潜在疾病以及帮助患者了解精子恢复率和妊娠结果至关重要。这篇综述文章总结了目前关于MD-TESE的资料，以在治疗NOA男性患者时获得最佳结果。
