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患者刘×,26岁,男。1986年3月结婚,次年其妻妊娠8个月因故引产离异。1986年有不洁性交史,曾患淋菌性尿道炎,肌注青霉素1周治疗。1988年1月与原妻复婚,一年未育。多次精液检查均无精子,诊断为无精子症。尿常规(一)、尿培养无菌生长。精液果糖(一)、染色体46,XY。FSH1.8mIU/ml、LH3.8mIU/ml、T560ng/dl、1989年4月19日行睾丸活检及输精管造影。镜下见曲细精管大小一致,管内可见各级生精细胞。右输精管内注入60％泛影葡胺3ml。显示管腔平滑精囊扩张,射精管于耻骨后受阻。1989年4月25日于硬外麻醉下行经尿道
Patient Liu ×, 26 years old, male. Married in March 1986, the following year his wife’s pregnancy 8 months due to induced labor divorced. 1986 uncle history of sexual intercourse, had gonococcal urethritis, intramuscular injection of penicillin for 1 week. January 1988 remarried with the original wife, one year without fertility. Multiple sperm tests have no sperm, diagnosis of azoospermia. Urine (a), urine culture aseptic growth. Semen fructose (A), Chromosome 46, XY. FSH1.8mIU / ml, LH3.8mIU / ml, T560ng / dl, April 19, 1989 line testis biopsy and vas deferens angiography. Microscope see seminiferous tubules the same size, the tube can be seen at all levels of spermatogenic cells. Right dextrose injected 60% diatrizoate 3ml. Shows smooth lumen seminal vesicle expansion, ejaculatory tube obstruction after the pubis. April 25, 1989 in the external transurethral anesthesia