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超声引导下三种睾丸活检方法病理结果的比较
毛强,周克松,杨涛,秦素
0
(宜宾市第二人民医院超声医学科;宜宾市第二人民医院病理科;宜宾市第二人民医院不育不孕科)
摘要:
【摘要】目的 比较超声引导下三种睾丸活检方法病理结果的价值。方法 选取我院2015年1月~2017年6月收治的无精子症患者44例:行睾丸粗针穿刺组织学病理(CNPH)检查24例;行睾丸细针抽吸组织学病理(FNAH)检查20例,其中10例睾丸测值较大的无精子症患者同时行细针抽吸细胞学涂片(FNAC)。比较三种睾丸活检方法的病理结果差异。结果 曲细精管断面数量 1~10:CNPH 6例、FNAH 5例; 11~20:CNPH 10例、FNAH 4例;21~30:CNPH 4例、FNAH 3例;31~40:CNPH 2例、FNAH 3例;大于40:CNPH 2例、FNAH 5例,差异无统计学意义(P>0.05);其他成分CNPH 19例、FNAH 1例,差异有统计学意义(P<0.05);血肿CNPH 5例、FNAH 0例, 差异有统计学意义(P<0.05);同时行FNAC、FNAH 10例,观察到的精子情况一致,但FANC不能观察到曲细精管组织结构。结论 睾丸细针抽吸组织学病理切片质量好,曲细精管断面多,无其他成分干扰;用时短,耗材少;微创,并发症少,具有较大的临床价值。
关键词:  睾丸活检  睾丸细胞学涂片  细针抽吸组织学  粗针穿刺组织学  男性不育
DOI:
基金项目:宜宾市科技局科研项目(2014SF018)
Comparison of pathological results of three testicular biopsy methods under ultrasound guidance
MAO Qiang,ZHOU Kesong,YANG Tao,QIN Su
(Department of Ultrasound, The Second People's Hospital of Yibin;Pathology Division, The Second People's Hospital of Yibin;Infertility Section, The Second People's Hospital of Yibin)
Abstract:
【Abstract】 Objective To compare the pathological results of three testicular biopsy methods under ultrasound guidance. Methods The gross needle aspiration histology (CNPH), fine needle aspiration histology (FNAH) and testicular fine needle aspiration cytology (FNAC) in Yibin Second People's Hospital from January 2015 to June 2017 were retrospectively analyzed, and the pathological results of three kinds of testicular biopsy were compared. Results There were 6 cases with the number of seminiferous tubules with 1 ~ 10 in CNPH and 5 cases in FNAH. There were 10 cases with the number of seminiferous tubules with 11 ~ 20 in CNPH and 4 cases in FNAH. There were 4 cases with the number of seminiferous tubules with 21 to 30 in CNPH and 3 cases in FNAH. There were 2 cases with the number of seminiferous tubules with 31 to 40 in CNPH and 3 cases in FNAH. There were 2 cases with the number of seminiferous tubules with more than 40 in CNPH and 5 cases in FNAH. There were 5 cases with hematoma in CNPH and 0 cases in FNAH (P<0.05).Conclusion The histologic pathological section of testicular fine needle aspiration is good. There are many sections of fine seminiferous tube, no interference from other components, short time, less consumables and less invasive and less complications.
Key words:  Testicular biopsy  Testicular cytological smear  Fine needle aspiration histology  The histological study of coarse needle puncture  Male infertility

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