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对276例无精症不育患者采用睾丸细针穿刺吸液细胞学检查,结合精液生化指标测定及双侧输精管通液或造影技术,6例诊断为双侧输精管盆部阻塞性无精症,经皮穿刺输精管吸精子(PVSA),有4例吸出活精子,2例吸出死精子,经孵育活化后,精子活率0%~48%,畸形精子31%~82%,吸出液内总精子数(2~60)×106,对3例吸出活精子患者行宫腔内人工授精(IUI)4个月经周期,结果1例妊娠,并足月剖宫产一健康女婴,体重2650g,身长47cm。提示经皮穿刺输精管吸精子IUI,可以做为输精管盆部阻塞性无精症不育患者一种有效的治疗方法。
276 cases of infertility patients with azoospermic needle aspiration cytology cytology test, combined with biochemical determination of semen and bilateral vas deferens through liquid or contrast imaging, 6 cases diagnosed as bilateral vas deferens obstructive azoospermia, Percutaneous sperm aspiration of sperm (PVSA), 4 cases of sperm sucked out of sperm, 2 cases of sperm sucked out after activation, the sperm motility rate of 0% to 48%, 31% to 82% of abnormal sperm, aspiration sperm total fluid (2 ~ 60) × 106, three cases of intrauterine insemination (IUI) menstrual cycle were performed on 3 patients with live sperm, and 1 pregnant and full-term cesarean section was given a healthy baby girl weighing 2650 g and a body length of 47 cm . Tip percutaneous sperm aspiration of the vas deferens IUI, can be used as a vas deferens pelvic obstructive infertility patients with an effective treatment.