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Хирургические методы получения сперматозоидов

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Хирургические методы получения сперматозоидов

При некоторых заболеваниях, сперматозоиды для оплодотворения можно получить только изнутри половых органов мужчины (яичек), поскольку в эякулят они не поступают. Выбор оптимального способа получения сперматозоидов осуществляется врачом-андрологом после дополнительного обследования. Возможны открытая биопсия яичка с последующей экстракцией сперматозоидов (ТЕЗЕ) или аспирации содержимого придатка яичка (МЕЗА), а также при помощи чрескожных аспирационных оперативных вмешательств на придатке яичка (ПЕЗА) или яичке (ТЕЗА). Чаще, операцию по получению сперматозоидов обычно выполняют в день пункции фолликулов и забора ооцитов у женщины. Однако известно, что сперматозоиды, полученные из придатка яичка, сохраняют способность к оплодотворению в течение 12-24 часов, в то время как тестикулярные (полученные из яичка) - в течение 48 - 72 часов. Так что при необходимости время проведения любой из указанных процедур можно варьировать в указанных рамках. Также возможно использование криоконсервированной ткани и аспирата яичка и/или придатка яичка по письменному заявлению пациентов - в этом случае процедуру забора сперматозоидов проводят заранее, до пункции фолликулов яичника жены.
При хирургическом получении сперматозоидов возможны такие осложнения, как гематомы мошонки или интратестикулярные гематомы, а также воспаление операционной раны.
Показаниями к хирургическому получению сперматозоидов являются обструктивная азооспермия или первичная тестикулярная недостаточность.Противопоказанием для хирургического получения сперматозоидов являются острые инфекционные/воспалительные заболевания любой локализации.
Перед хирургическим извлечением сперматозоидов делают анализы крови на группу крови и резус-фактор; клинический анализ крови, включая время свертываемости (действителен 1 месяц); анализ крови на сифилис, ВИЧ, гепатиты В и С (действителен 3 месяца).

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Home :: 
Moncler Sweaters Men :: 
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