同种异体睾丸移植治疗男性性功能低减  

HOMOTRANSPLANTATION OF TESTIS

作　　者：赵高贤[1] 白悦心[1] 乔保平[1] 杨太森[1] 贺长清[1] 陈言汤[1] 姜海洋[1] 

机构地区：[1]河南医科大学第一附属医院

出　　处：《河南医学研究》1995年第2期109-111,共3页Henan Medical Research

摘　　要：作者从１９８６年８月至今为１１例病人作了“同种异体宰丸移植”，其中８例为先天性睾丸发育不良，３例为睾丸炎致睾丸萎缩。术前为小阴茎、小睾丸，性功能低下，副性征不明显，血睾酮均低（在１．７～７．３５ｎｍｏｌ／Ｌ）。尸体供睾３例，亲属供睾８例。术后随访４年，血睾酮升至正常水平（１２．８～１８．２ｎｍｏｌ／Ｌ），副性征和性功能有显著改善，３例发现精液中有精子。已婚的５例病人均能进行正常性生活，未婚的６例中３例术后已结婚，性生活正常。Testis homotransplantation has been carried out in 11 patients sxince 1986. Ofthem,8 suffered from congenital testicular dysplasia and the other 3 from orchiatrophy as aresult of orchitis. Preoperatively,manifestations were a small penis,small testes,sexual dys-function,indistinct secondary sex characteristics and low serum testosterone(1.7～ 7.35nmol/L).Three cases had cadaver transplants and 8 had living relatives′transplants. Thepatients were followed up for 7 monthes to 4 years. The secondary sex characteristics andsexual function were improved remarkably after transplantation. Serum testosterone in-creased up to 12.3～18.2 nmo/L.All of 5 married patients resumed sexual intercourse satis-factorily.Three others got married after transplantation and have enjoyed normal sexualfunctions.Spermatozoa have been found in the semen in 3 of the cases.

关 键 词：睾丸移植 性功能减低 男性 外科手术 

分 类 号：R699.8[医药卫生—泌尿科学]