【摘要】 目的:探讨睾丸穿刺取精术(TESA)睾丸标本病理学检查的价值。方法:分析96例TESA睾丸组织倒置显微镜下检查和病理学检查结果,比较两种方法对睾丸组织是否存在精子的诊断价值。结果:11例镜检有精子患者中病理检查9例有精子,2例无精子;57例镜检未见精子患者中,病理检查发现11例有精子(19.30%)。镜检未见精子的睾丸病理类型分别为唯支持细胞综合征34例,精子成熟停滞12例,生精功能低下11例。结论:TESA睾丸组织镜下未见精子者,病理学检查可能发现精子,并为再次睾丸取精提供参考。更多还原

【Abstract】 Objective: To evaluate histopathologic examination of the testis tissue from testicular sperm aspiration( TESA). Methods: We analyzed the results of inverted microscopy and histopathologic examination of 96 samples of testis tissue from TESA,and compared the accuracy of the two methods in detecting sperm in the testis tissue. Results: Among the 11 cases in which sperm was found by inverted microscopy,9 were confirmed by histopathologic examination,and among the 57 cases in which sperm was not detected by inverted microscopy,11( 19. 3%) were found with sperm by histopathologic examination. Histopathologically,the cases in which sperm was not found by inverted microscopy included Sertoli-cell-only syndrome( n = 34),maturation arrest( n = 12) and hypospermatogenesis( n = 11). Conclusion: Histopathologic examination may reveal sperm in the TESA testis tissue proved to be sperm-absent by microscopy,and thus offer valuable information for a second testicular sperm retrieval.更多还原