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对于一名患有睾丸小管萎缩的无精子症男性,通过睾丸活检获取精子后进行卵胞浆内单精子注射、受精及胚胎移植。

Intracytoplasmic sperm injection, fertilization, and embryo transfer after retrieval of spermatozoa by testicular biopsy from an azoospermic male with testicular tubular atrophy.

作者信息

Yemini M, Vanderzwalmen P, Mukaida T, Schoengold S, Birkenfeld A

机构信息

Diamond Institute for Infertility and Menopause, Irvington, New Jersey 07111, USA.

出版信息

Fertil Steril. 1995 May;63(5):1118-20. doi: 10.1016/s0015-0282(16)57559-1.

DOI:10.1016/s0015-0282(16)57559-1
PMID:7720928
Abstract

OBJECTIVE

To achieve fertilization and cleavage by spermatozoa retrieved by testicular biopsy from a male with testicular tubular atrophy.

DESIGN

Clinical trial.

SETTING

Private reproductive institute.

PATIENT

Azoospermic male with demonstrated testicular tubular atrophy and almost complete spermatogenic arrest.

INTERVENTION

Open biopsy retrieval of testicular tissue and sperm followed by intracytoplasmic sperm injection.

MAIN OUTCOME MEASURES

Fertilization and cleavage.

RESULTS

One four- to six-cell embryo was formed after intracytoplasmic sperm injection of five eggs with extruded polar bodies by retrieved sperm.

CONCLUSION

Intracytoplasmic sperm injection after testicular sperm aspiration may be attempted in cases with severely decreased spermatogenesis and result in fertilization, cleavage, and embryo transfer.

摘要

目的

通过睾丸活检从患有睾丸小管萎缩的男性中获取精子,以实现受精和卵裂。

设计

临床试验。

地点

私立生殖机构。

患者

一名无精子症男性,经证实存在睾丸小管萎缩且几乎完全生精停滞。

干预措施

通过开放式活检获取睾丸组织和精子,随后进行卵胞浆内单精子注射。

主要观察指标

受精和卵裂。

结果

用获取的精子对5个排出极体的卵子进行卵胞浆内单精子注射后,形成了1个4至6细胞胚胎。

结论

对于精子发生严重减少的病例,可尝试在睾丸精子抽吸后进行卵胞浆内单精子注射,其可能导致受精、卵裂并可进行胚胎移植。

相似文献

1
Intracytoplasmic sperm injection, fertilization, and embryo transfer after retrieval of spermatozoa by testicular biopsy from an azoospermic male with testicular tubular atrophy.对于一名患有睾丸小管萎缩的无精子症男性,通过睾丸活检获取精子后进行卵胞浆内单精子注射、受精及胚胎移植。
Fertil Steril. 1995 May;63(5):1118-20. doi: 10.1016/s0015-0282(16)57559-1.
2
Testicular needle biopsy, open biopsy, epididymal aspiration and intracytoplasmic sperm injection in obstructive azoospermia.梗阻性无精子症的睾丸针吸活检、开放活检、附睾抽吸及卵胞浆内单精子注射
Hum Reprod. 1995 Oct;10(10):2595-9.
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Fertilization after intracytoplasmic sperm injection with cryopreserved testicular spermatozoa.使用冷冻保存的睾丸精子进行卵胞浆内单精子注射后的受精情况。
Fertil Steril. 1996 Apr;65(4):877-9. doi: 10.1016/s0015-0282(16)58232-6.
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Intracytoplasmic sperm injection for treatment of non-obstructive azoospermia.卵胞浆内单精子注射治疗非梗阻性无精子症。
Gynecol Endocrinol. 1997 Oct;11(5):335-9. doi: 10.3109/09513599709152558.
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High fertilization and pregnancy rate after intracytoplasmic sperm injection with spermatozoa obtained from testicle biopsy.采用经睾丸活检获取的精子进行卵胞浆内单精子注射后具有较高的受精率和妊娠率。
Hum Reprod. 1995 Jan;10(1):148-52. doi: 10.1093/humrep/10.1.148.
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Testicular sperm extraction and intracytoplasmic sperm injection: a simplified method for treatment of obstructive azoospermia.睾丸精子提取和卵胞浆内单精子注射:一种治疗梗阻性无精子症的简化方法。
Fertil Steril. 1997 Aug;68(2):328-33. doi: 10.1016/s0015-0282(97)81524-5.
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Testicular sperm retrieval by percutaneous fine needle sperm aspiration compared with testicular sperm extraction by open biopsy in men with non-obstructive azoospermia.经皮细针精子抽吸术与开放式活检睾丸精子提取术在非梗阻性无精子症男性中获取睾丸精子的比较
Hum Reprod. 1997 Jul;12(7):1488-93. doi: 10.1093/humrep/12.7.1488.
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Correlation between testicular histology and outcome after intracytoplasmic sperm injection using testicular spermatozoa.使用睾丸精子进行卵胞浆内单精子注射后睾丸组织学与结局的相关性。
Hum Reprod. 1996 Jan;11(1):127-32. doi: 10.1093/oxfordjournals.humrep.a019004.
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Intracytoplasmic injection of spermatids retrieved from testicular tissue: influence of testicular pathology, type of selected spermatids and oocyte activation.从睾丸组织中获取的精子细胞的胞质内注射:睾丸病理、所选精子细胞类型及卵母细胞激活的影响
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Intracytoplasmic injection of fresh and cryopreserved testicular spermatozoa in patients with nonobstructive azoospermia--a comparative study.非梗阻性无精子症患者新鲜及冷冻保存睾丸精子的胞浆内注射——一项对比研究
Fertil Steril. 1997 Nov;68(5):892-7. doi: 10.1016/s0015-0282(97)00358-0.

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