Shrivastav P, Nadkarni P, Wensvoort S, Craft I
Dubai Gynaecology and Fertility Centre, United Arab Emirates.
Hum Reprod. 1994 Nov;9(11):2058-61. doi: 10.1093/oxfordjournals.humrep.a138393.
We report the use of percutaneous epididymal sperm aspiration as a simpler and more acceptable alternative to microscopic epididymal sperm aspiration for patients with obstructive azoospermia in whom bypass surgery is not feasible or has not been successful. Some contamination of the aspirate with blood is inevitable, but with careful sperm preparation techniques this can be reduced substantially in the final aliquot used for assisted conception. Spermatozoa with active forward progression may be used for gamete intra-Fallopian transfer treatment, but when this capacity is absent intracytoplasmic sperm injection is recommended. Three pregnancies were obtained in seven couples and a set of twins has been delivered.
我们报告了经皮附睾精子抽吸术的应用，对于无法进行旁路手术或手术未成功的梗阻性无精子症患者，该方法是一种比显微附睾精子抽吸术更简单且更易接受的替代方法。抽吸物不可避免地会被血液污染，但通过仔细的精子制备技术，在用于辅助受孕的最终样本中，这种污染可大幅减少。具有活跃前向运动能力的精子可用于输卵管内配子移植治疗，但当精子缺乏这种能力时，建议采用卵胞浆内单精子注射。七对夫妇中有三例成功怀孕，其中一对已分娩一对双胞胎。
