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对28例无精子症男性不育患者,进行睾丸活检和可疑病因调查,发现无精子症睾丸病理改变主要为生精细胞脱落、管腔拥塞(28.6%),生精障碍(21.4%),曲精管透明变性(17.9%)等;而唯支持细胞综合征、生精功能低下、睾丸组织基本正常并属于梗阻性无精子症以及睾丸混合型损害都占一定的比例。多数无精子症患者找不到明显的后天性病因,而在能找到的可疑病因中,以有腮腺炎病史患者居首位,有害环境次之,食用粗制棉籽油和原因不明的会阴部不适、睾丸隐隐胀痛以及有淋病、结核病史等占一定比例,而后二者往往属于梗阻性无精子症。
A total of 28 male infertility patients without azoospermia were investigated with testis biopsy and suspicious cause. The pathological changes of testicular azoospermia were mainly spermatogenic cell shedding, luminal congestion (28.6%), spermatogenesis disorder (21.4%), Sperm degeneration (17.9%), etc .; and only support cell syndrome, dysfunctional spermatogenesis, testicular tissue is basically normal and belongs to obstructive azoospermia and testicular mixed lesions account for a certain percentage. Most patients with azoospermia can not find a clear cause of acquired disease, and in the suspicious causes can be found in the history of mumps patients with the first place, harmful environment followed, consumption of crude cottonseed oil and unexplained perineal discomfort , Testicular fainting pain and gonorrhea, tuberculosis history accounted for a certain proportion, and then the two are often obstructive azoospermia.