睾丸显微取精术治疗非梗阻性无精子症的研究进展

Progress in the study of testicular microsurgery for non-obstructive azoospermia

关键词:  无精子症  非梗阻性  手术取精  睾丸活检术  睾丸显微取精术  男性不育  精子获得率

Key words:  azoospermia  non-obstructive  surgical sperm retrieval  testicular sperm extraction (TESE)  microdissection testicular sperm extraction (MD-TESE)  male infertility  sperm availability

摘要:

无精子症是男科疾病中较为常见的一种，其病因与治疗均较为复杂，按病因学又可以分为梗阻性和非梗阻性，本文通过对无精子症的定义、分类、诊断比较了这两种无精子症的特点，重点就选择睾丸显微取精术治疗非梗阻性无精子症的特点、取精前预测指标、精子获得率、术后并发症以及需要进行改进和探索的问题等进行综述。

Abstract:

Azoospermia is a common type in male reproductive diseases. Its etiology and treatment are complicated. According to etiology, it can be divided into obstructive and non-obstructive. This article compares the definition, classification, diagnosis, and characteristics of these two types of azoospermia and focuses on the characteristics of testicular microsurgery for non-obstructive azoospermia, prediction indicators, sperm acquisition rate, postoperative complications, and problems that need to be improved and explored. This review is intended to help clinicians.