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不同穿刺针应用于睾丸穿刺取精术的比较 被引量:4

Comparative study of testicular sperm aspiration by different needles
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摘要 目的:比较三种不同穿刺针用于睾丸穿刺取精术(TESA)的效果和并发症,以助于临床选择。方法:先后使用1.6侧孔针、0.7蝶形针和1.2侧孔针对188例无精子症患者实施TESA,分别为102例、41例和45例。比较各自穿刺针数及1周内阴囊血肿、感染的发生率。结果:三种穿刺针术后1周内均未见明显并发症。采用1.6侧孔针进行1~3次穿刺,99例获得足够睾丸组织。0.7蝶形针获得满意组织,梗阻性无精子症(OA)患者需要(3.62±0.80)次穿刺,非梗阻性无精子症(NOA)患者需要(5.50±1.10)次。1.2侧孔针用于OA和NOA患者分别需要穿刺(1.95±0.69)次和(2.92±1.15)次。0.7蝶形针穿刺次数多于1.2侧孔针(P〈0.05)。NOA患者比OA更难穿刺获得睾丸组织(P〈0.05)。结论:OA和NOA患者以0.7蝶形针行TESA术,均需要比1.6和1.2侧孔针更多的穿刺针数,可能增加潜在并发症。拟行TESA的NOA患者,建议采用1.2侧孔针。 Objective:To compare the outcomes of testicular sperm aspiration(TESA)by three different puncture needles so as to find a suitable choice.Method:A total of 188 azoospermia men undergone TESA including102 cases by 1.6side-hole needle,41 cases by 0.7butterfly needle,and 45 cases by 1.2side-hole needle.We compared the incidence of scrotal hematoma and infection among three groups within a week after the procedure.Result:No obvious complication occurred within a week.After 1-3puncture attempts by 1.6side-hole needle,99 cases got adequate testicular tissue.By 0.7butterfly needle(3.62 ±0.80)attempts were made for obstructive azoospermia(OA)cases to obtain adequate samples,and(5.50±1.10)attempts for non-obstructive azoospermia(NOA)cases.By 1.2side-hole needle,the attempts were(1.95±0.69)and(2.92±1.15)for OA and NOA cases respectively.There were more attempts by 0.7butterfly needle than by 1.2side-hole needle(P〈0.05).It was more difficult for NOA cases to get testicular tissue than OA patients(P〈0.05).Conclusion:It need more puncture attempts to apply TESA by 0.7butterfly needle,thus it increases the chances of complications.For NOA patients undergone TESA,1.2side-hole needle is recommended.
出处 《临床泌尿外科杂志》 2014年第8期706-708,共3页 Journal of Clinical Urology
基金 苏州市"科教兴卫"青年科技项目(编号KJXW2013025)
关键词 无精子症 睾丸穿刺取精术 穿刺针 侧孔注射针 azoospermia testicular sperm aspiration puncture needle side-hole needle
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