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对两组病例,第1组61例无精子症病人,进行精液细胞学与睾丸针吸细胞学检查;第2组15例正常生育男性及4例无精子症病人,进行睾丸活检与精液细胞学检查。结果显示:第1组53例(占87%,53/61)精液中检出生精细胞,检出病例中精液细胞学与睾丸针吸细胞学所反映的生精细胞发育水平总符合率为91%,经X2检验二者显著相关(P<0.005);8例(占13%)精液细胞学检查未见生精细胞的病例,考虑梗阴性无精子症,其中7例经精液生化指标证实,5例睾丸针吸细胞检查见精子。第2组两种方法所反映的生精细胞发育水平完全一致。说明精液细胞学检查既能很好反映睾丸生精状况,又能反映精道梗阴情况,是一种比较理想的判断睾丸生精功能及精道梗阻的无创伤性检查方法。
In both groups, 61 patients with azoospermia in group 1 underwent sperm cytology and testicular aspiration cytology; group 2, 15 normal and 4 azoospermic patients underwent testicular biopsy and semen cytology an examination. The results showed that spermatogenic cells were detected in semen of 53 cases (87%, 53/61) in group 1, and the total coincidence rate of spermatogenic cells detected by seminal fluid cytology and testicular aspiration cytology was 91%, respectively. There was a significant correlation between them (P <0.005) by X2 test. No spermatogenic cells were found in 8 cases (13%) seminal fluid cells. Indicators confirmed that 5 cases of testicular needle aspiration cytology see sperm. Group 2 two methods reflect exactly the same level of development of spermatogenic cells. Description of semen cytology can not only reflect the status of testicular spermatogenesis, but also reflect the situation of fine obstruction Yin, is an ideal test to determine the function of spermatogenesis and spermatic obstruction noninvasive examination.