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目的研究男性不育无精子症病因构成比情况。方法对1756例在广东省计划生育专科医院诊断为无精子症的病例,按照WHO的诊断分类标准,进行回顾性分析。结果在1756例无精子症中,先天性异常1164例(66.3%),特发性无精子症321例(18.3%),梗阻性无精子症114例(6.5%),获得性睾丸损伤71例(4.0%),内分泌病因7例(0.4%),精索静脉曲张79例(4.5%)。结论男性不育无精子症的主要病因是先天性异常、特发性无精子症等非梗阻性无精子症。预后较差,辅助生殖技术是治疗的有效方法,但遗传问题尚待进一步研究。
Objective To study the causes of male infertility azoospermia. Methods A retrospective analysis of 1756 cases diagnosed as azoospermia in Guangdong Family Planning Specialized Hospital was performed according to WHO diagnostic criteria. Results In 1756 cases of azoospermia, 1164 cases (66.3%) of congenital anomalies, 321 cases (18.3%) of idiopathic azoospermia, 114 cases (6.5%) of obstructive azoospermia, 71 cases of acquired testicular injury (4.0%), endocrine causes in 7 patients (0.4%) and varicocele in 79 patients (4.5%). Conclusion The main causes of male infertility and azoospermia are non-obstructive azoospermia such as congenital anomalies and idiopathic azoospermia. Poor prognosis, assisted reproductive technology is an effective method of treatment, but the genetic problems remain to be further studied.