绝对非阻塞性阿佐精子症的不孕男性的丸细针吸收:单中心队列研究
Jawad Sakas1, Orit Radin1, Noa Abrahami2
1Reproductive Medicine Unit, Department of Obstetrics and Gynecology, The Baruch Padeh Medical Center, Poriya, Israel.
The Australian & New Zealand journal of obstetrics & gynaecology
|December 11, 2023
概括
丸精细针吸收 (TEFNA) 是一种有效且安全的方法,用于非阻塞性亚精子症的不孕男性的精子采集. 在生育治疗中,检索出的精子细胞数量显著影响受精率.
科学领域:
- 生殖医学 生殖医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
背景情况:
- 在生育治疗中,手术精子提取方法缺乏足够的数据来预测结果的预测价值.
- 非阻塞性精症在成功获取精子以进行辅助生殖方面存在挑战.
研究的目的:
- 为了评估丸细针吸收 (TEFNA) 在非阻塞性精子缺血症的不孕男性中的有效性.
- 为了确定取出的精子细胞的数量是否会影响受精率.
主要方法:
- 一组89名被诊断患有非阻塞性精子缺血症的不育男性接受了TEFNA.
- 评估了精子采集,受精,临床怀孕和活产的成功率.
- 根据检索出的精子细胞数量来对患者进行分类:少数,数十或数百到数千.
主要成果:
- 精子提取在45%的患者中成功 (89人中有40人),没有重大并发症.
- 与数十个 (40.1%) 或数百/数千个 (47.2%) 的患者相比,只有少数取出的精子细胞的患者的受精率明显较低 (16.6%).
结论:
- 丸精细针吸收 (TEFNA) 是一种简单,安全和有效的选择,用于非阻塞性精子缺血症的精子提取.
- 通过TEFNA获取的精子细胞数量是影响受精成功率的关键因素.
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