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为了确定生殖系淋菌感染是否影响生育,作者进行了前瞻性研究,45例青年患急性化脓性尿道炎,继之又发生一侧睾肿胀,疼痛(附睾睾丸炎)被选为研究对象,诊断均已确定为淋球菌感染,生育能力通过病史询问,多次精液检查,血清卵泡刺激素(FSH)测定和睾丸活检来判定,随访至少在半年以上,30例达2年,患病以前14例已婚,并已经有了小孩,患病以后只有3例(21%)保存了生育能力,全组病人精液检结果显示60%为无精子或少精子症,只有40%精子达到了能受孕的水平,7例于急性炎症期行睾丸穿刺活检,患侧有多核白细胞和单核细胞浸润,间质灶性出血,生精小管坏死,对侧虽然无以上变化,但可见
In order to determine whether genital gonorrhea infection affects fertility, the authors conducted a prospective study of 45 young patients suffering from acute suppurative urethritis, followed by another side of the testis swelling, pain (epididymo-orchitis) was selected as the study, the diagnosis was Has been identified as Neisseria gonorrhoeae infection, fertility through medical history, multiple semen examination, serum follicle stimulating hormone (FSH) test and testicular biopsy to determine, followed up for at least six months, 30 up to 2 years before the illness has been 14 Only 3 (21%) survived childbirth and had fertility, and 60% of all semen tests showed azoospermia or oligospermia, with only 40% of sperm reaching the level of conception , 7 cases of acute inflammation in the testis biopsy, ipsilateral polycythemia and mononuclear cell infiltration, focal interstitial hemorrhage, seminiferous tubule necrosis, contralateral although no change in the above, but can be seen