卵胞浆内单精子显微注射对逆行射精致男性不育症的治疗价值

Therapeutic value of intracytoplasmic sperm injection on retrograde ejaculation-induced male infertility

  • 摘要: 目的:探讨卵胞浆内单精子显微注射(ICSI)对逆行射精导致的男性不育症的临床治疗价值。方法选取2007年4月-2012年6月在本中心诊治的10例逆行射精患者为研究对象,治疗当天,患者有射精感后立即排尿,留取尿液立即加入培养液,离心清洗后,直接制盘行 ICSI 治疗;女方采用常规促性腺激素释放激素激动剂(GnRH-a)长方案超促排卵,经阴道穿刺取卵后采用 ICSI 方式授精。结果10例逆行射精症患者共完成19个治疗周期,其中2例患者的4个治疗周期因取精当日未发现运动精子改行睾丸穿刺取精加 ICSI 治疗。其余8例逆行射精患者,共完成15个治疗周期,包括10个新鲜周期和5个冷冻胚胎解冻移植(FET)周期,总受精率为67.97%,卵裂率94.25%,新鲜周期临床妊娠率为66.67%,FET 周期临床妊娠率为60%,总临床妊娠率为64.28%。结论 ICSI 治疗逆行射精导致的男性不育症,疗效确切。对于药物及手术治疗无效的逆行射精不育症患者,ICSI 是解决其生育问题的很好选择。

     

    Abstract: Objective To explore the clinical therapeutic value of intracytoplasmic sperm in-jection (ICSI)on retrograde ejaculation-induced male infertility.Methods A total of 10 male pa-tients with retrograde ejaculation-induced male infertility in this center served as research objects. On treatment day,male patients had to urinate immediately after the presence of ejaculation sensa-tion,urine was collected and added with culture medium,centrifuged and cleaned,and directly es-tablish gel to conduct ICSI.As for females,routine gonadotropin-releasing hormone angonist (GnRH-a)was applied to conduct long-protocol controlled ovarian hyperstimulation,and ISCI was conducted for insemination after egg retrival by trans-vaginal puncture.Results All male patients were successfully complete 19-cycle treatment,in which 2 were treated with testicular puncture to collect sperms and ICSI because no movement sperm was found after 4-cycle treatment,while the rest patients finished 15-cycle treatment,including 10 fresh cycles and 5 frozen embryos thawing transplantation (FET)cycles,with total insemination rate,merogenesis rate,clinical pregnancy rate in fresh cycle ,clinical pregnancy rate in FET cycle and total clinical pregnancy rate being 67.97%,94.25%,66.67%,60% and 64.28%,respectively.Conclusion ISCI has certain effi-cacy and is the optimal choice in treating retrograde ejaculation-induced male infertility poor with surgeries.

     

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