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FSH和睾丸体积对373例无精子症患者病因诊断的临床研究

Clinical study on etiology diagnosis of FSH and testicular volume in 373 patients with azoospermia

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【作者】 邓志华罗开玲邓李文丘映黄茜邹彦

【Author】 DENG Zhihua;LUO Kailing;DENG Liwen;QIU Ying;HUANG Qian;ZOU Yan;Reproductive Center,Nanning Municipal Second People′s Hospital;

【机构】 南宁市第二人民医院生殖中心

【摘要】 目的探讨血清卵泡刺激素(FSH)水平和睾丸体积在无精子症患者病因学诊断中的临床价值。方法回顾性分析373例无精子症患者的临床资料,根据其FSH检测水平将患者分为A、B、C 3组,A组FSH正常、B组FSH轻度升高、C组FSH重度升高。分别统计分析各组患者睾丸体积和取精成功率。结果 A、B、C 3组患者睾丸取精成功率分别为70.81%、22.22%、0;3组患者的平均睾丸体积分别为(11.39±5.06)、(8.79±4.18)、(6.96±4.12)mL,组间比较差异均有统计学意义(P<0.05)。结论对无精子症患者,FSH水平和睾丸体积有助于综合判断睾丸的生精功能状态,并可对无精子症类型进行鉴别。

【Abstract】 Objective To investigate the clinical value of serum follicle stimulating hormone(FSH)and testicular volume in the etiology diagnosis of azoospermia.Methods The clinical data of 373 patients with azoospermia were analyzed retrospectively.The patients were divided into the group A,B and C according to their FSH detected level.The FSH level was normal in the group A,slightly increase in the group B and severe increase in the group C.The testicular volume and the spern retrieval success rate of each group were analyzed statistically.Results The testicular sperm retrieval success rates in the group A,B and C were 70.81%,22.22% and 0 respectively;the average testicular volumes in the three groups were(11.39±5.06),(8.79±4.18),(6.96±4.12)mL respectively,the differences among the three groups were statistically significant(P<0.05).Conclusion In the patients with azoospermia,the FSH level and testicular volume help to judge the testicular spermatogenic functional status and identify the type of azoospermia.

【基金】 南宁市科技局科技攻关与新产品试剂资助项目(ZC200811C)
  • 【文献出处】 重庆医学 ,Chongqing Medicine , 编辑部邮箱 ,2018年05期
  • 【分类号】R698.2
  • 【被引频次】10
  • 【下载频次】126
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