摘要
在过去的 5~ 10年里 ,医学领域中很少有像生殖医学那样发展迅速 ,特别是使用卵胞浆内精子注射 (ICSI)技术治疗男性不育及先进的外科附睾和睾丸取精术。这两项重大技术进步彻底改变了原先不可治愈的睾丸衰竭 (非梗阻性无精子症 )、射精障碍或不可修复的梗阻性无精子症。那些患有非常严重的不能用特殊方法和手术治疗的不育男性 ,现在有机会利用他们仅有的几条精子做起其生物学子女的父亲。讨论了辅助生育的各种先进的精子取出术 ,重点讨论技术和安全性。每一技术有其特殊的医学适应证。
During the past 5~10 years, very few medical fields have changed dramatically as reproductive medicine, especially for the new treatment for the male infertility by the use of intracytoplasmic sperm injection (ICSI) techniques and advanced surgical epididymal and testicular sperm retrieval techniques. Those two major technical advances have completely changed the treatment for previously untreatable testicular failure (non obstructive azoospermia), ejaculatory failure or un reconstructable obstructive azoospermia. Many men with even the most severe forms of infertility that are not amendable to specific medical and surgical treatments can now have chances to father biological children with only a few of their spermatozoa. This review serves to discuss the various advanced sperm retrieval techniques available for assisted reproduction, with specific focus on the technical aspects and safety. Each technique has its specific medical indications, efficacies and limitations.
出处
《中华男科学杂志》
CAS
CSCD
2001年第2期71-78,共8页
National Journal of Andrology
基金
FundedbyCenterforMaleReproductiveMedicine&MicrosurgeryCornellUniversity