SUCCESSFUL PREGNANCY AND BIRTH AFTER INTRAUTERINE INSEMINATION USING CAPUT EPIDIDYMAL SPERM BY PERCUTANEOUS ASPIRATION

• 来源期刊: 亚洲男性学杂志(英文版)
• 学科: 医学
• 关键词: 八一
• 年，卷（期）: 2003,（1）
• 页码范围: 73-75
• 页数: 3页
• 分类号: R698.2
• 语种: 中文

摘要

Aim: To manage male infertility with obstructive azoospermia by means of percutaneous epididymal sperm aspiration (PESA) and intrauterine insemination (IUI). Methods: Ninety azoospermic patients with congenital bilateral absence of the vas deferens (BAVD, n=58) or bilateral caudal epididymal obstruction (BCEO, n=32) requesting for fine needle aspiration (FNA), PESA and IUI were recruited. The obstruction was diagnosed by vasography and determination of the fructose, carnitine and alpha-glucosidase levels in the seminal fluid. Results: The mean sperm motility, density, abnormal sperm and total sperm count of the caput epdidymis were 16 %±22 %, (12±31) *106/mL, 55 %±36 % and (16±14)*106, respectively. In the 90 couples, a total of 74 PESA procedures and 66 cycles of IUI were performed. Three pregnancies resulted, including one twin pregnancy giving birth to two healthy boys, one single pregnancy with a healthy girl and another single pregnancy aborted at week 6 of conception. The pregnancy rate per I