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目的进一步探讨由于射精管梗阻(EDO)引起的无精子症的治疗。方法采用精液分析(包括精液的量、pH值、果糖的测定)、经直肠指检、B超检查精囊腺,手法检查和B超检查附睾的方法诊断。于2004年11月至2006年12月,20例患者临床上诊断为因射精管梗阻引起的无精子症,采用经尿道电切术切开、切除梗阻的射精管,直至见到有乳白色、褐色、黄褐色或暗红色精液排出。结果20例无精子症患者的精液量增多,精液中出现精子,1年内精液分析连续3次正常,其中4例其配偶怀孕。5例患者术后1年复查精囊腺明显缩小。本组没有发现明显的并发症。结论经尿道电切术治疗射精管梗阻的无精子症是一种简单、有效的方法。
Objective To investigate the treatment of azoospermia due to ejaculatory duct obstruction (EDO). Methods Semen analysis (including the amount of semen, pH, fructose determination), the digital rectal examination, B-ultrasound examination of seminal vesicles, manual examination and B-ultrasound examination of the epididymis method diagnosis. From November 2004 to December 2006, 20 patients were clinically diagnosed as azoospermia due to ejaculatory duct obstruction. Transurethral resection was performed to excise obstructed ejaculatory ducts until they were observed to be milky white , Tan or dark red semen discharge. Results 20 cases of azoospermia in patients with semen increased sperm spermatogenesis, semen analysis within 1 year 3 consecutive normal, of which 4 cases of their spouses pregnant. 5 patients after 1 year review seminal vesicle was significantly reduced. This group did not find significant complications. Conclusion Transurethral resection of azoosperitoneal obstruction is a simple and effective method.