采用精道镜技术治疗射精管梗阻性无精子症和重症少精症

Transurethral seminal vesiculoscopy: a novel method in the treatment of obstructive azoospermia and severe oligospermia

摘要:

目的   探讨精道镜技术在治疗梗阻性无精子症和重症少精症中的价值。方法   选取25例射精管梗阻患者（无精子症17例，重症少精子症8例），采用精囊镜技术治疗，术后对精液质量及受孕率进行随访。结果   78.6%（11/14例）的无精子症患者3个月检查时即有精子，精液量由手术前0.3～1.2 ml[平均（0.89±0.14）ml]增加到手术后1.9～4.5 ml[平均（2.80±0.75）ml]，差异有统计学意义（P <0.01）；8例重症少精症患者3个月检查时精液量增加明显（P <0.01），总精子数增加（P <0.01）；术后9个月内总妊娠率达到27.3%（6/22）。所有病例术后均未见逆行射精、尿失禁或直肠损伤等并发症。结论   经尿道精囊镜技术治疗射精管梗阻性无精症及重症少精症是安全有效的。

Abstract:

Abstract: Objectives To investigate the clinical value of transurethral seminal vesiculoscopy in treatment of obstructive and severe oligospermia. Methods 25 patients with EDO (17 cases were azoospermia, 8 cases were severe oligospermia) were selected and treated by transurethral seminal vesiculoscopy, then followed up 6~12 months after operation. Results Sperms were found in semen specimens of 78.6% patients with azoospermia while three month follow-up and accompanied with semen volume increased (0.89 ± 0.14) ml vs (2.80 ± 0.75) ml, pre-operation vs post-operation (P < 0.01); The same tendency was found in patients with oligospermia. Total pregnancy rate was 27.3 % 9 months post-operation. No complications such as retrograde ejaculation, incontinence or rectal injury, et al. were found. Conclusion Transurethral seminal vesiculoscopy is safe and effective for treatment of obstructive azoospermia and severe oligospermia.