| 摘要: |
| ［摘要］ 目的 探讨经直肠超声检查对射精管梗阻性无精症患者梗阻部位确定和选择治疗方案的临床应用价值。方法 采用高频及经直肠超声对129例梗阻性无精症患者进行检测，并依据超声判断射精管梗阻位置建议临床选择治疗方案。结果 检出94例射精管梗阻性无精症，其中24例为射精管低位梗阻，选择经尿道精囊镜射精管切开术进行治疗，术后3个月检查精液均找到活精子,其中10例患者配偶受孕，活产8胎；70例为射精管高位梗阻，选择经睾丸或附睾穿刺术取精术找到活精子后行卵母细胞胞浆内单精子注射术助孕治疗，其中44例患者配偶受孕，活产39胎。结论 经直肠超声检查可准确判断射精管梗阻部位，按梗阻部位不同建议采取不同的治疗方案，能有效地提高治疗成功率。 |
| 关键词: 射精管梗阻 无精子症 超声检查 人类辅助生殖 |
| DOI：10.3969/j.issn.1674-3806.2017.06.04 |
| 分类号:R 697 |
| 基金项目:广西卫计委科研课题（编号：Z2011435） |
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| Clinical value of transrectal ultrasound in locating obstructive sites and making treatment choices for patients with ejaculatory duct obstruction azoospermia |
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WAN Li-kai, LI Da-wen, WANG Xiao-ping, et al
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Center for Reproductive and Genetics, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To investigate the clinical value of transrectal ultrasound in locating obstructive sites and making treatment choices for patients with ejaculatory duct obstruction(EDO) azoospermia.Methods One hundred and twenty-nine patients with EDO azoospermia were performed high frequency and transrectal ultrasound by which the location of ejaculatory duct obstruction was determined and the treatment options were made for the clinicians.Results Of the 94 patients with EDO azoospermia, 24 patients with lower EDO were treated with transurethral resection of ejaculatory duct by seminal vesicle according to the ultrasonic results. The living semens were found 3 months after the operation, 10 patients′ wives were pregnant and 8 babies were born. The other 70 patients with higher EDO received the recommended intracytoplasmatic sperm injection in oocytes after the live sperms were found by paracentesis of testis or epididymis among whom 44 patients′ wives were pregnant and 39 babies were born.Conclusion Transrectal ultrasonography can accurately locate the obstructive sites of the ejaculatory ducts. and effectively improves the success rate of treatment by taking the different treatment options according to the different obstructive sites. |
| Key words: Ejaculatory duct obstruction(EDO) Azoospermia Ultrasonography Assisted reproduction |
