不同病因无精子症的生殖激素水平  

Reproductive Hormone Level in Azoospermic Men with Varies Causes

作　　者：陈荣安[1] 房秉仁[1] 欧阳贵[1] 张益康[1] 秦建平[1] 李兴欢[1] 凌文利[1] 邓衡[1] 

机构地区：[1]南华大学第一附属医院临床医学研究所,衡阳421001

出　　处：《生殖与避孕》2002年第2期111-113,F003,共4页Reproduction and Contraception

摘　　要：目的 :探讨不同病因无精子症患者生殖激素水平及病变部位和睾丸生精功能的关系。方法 :采用 RIA法检测 6 5 1例患者血清中的生殖激素 FSH、LH、T、PRL值。结果 :FSH值升高者 ,病变在睾丸 ,且生精功能受损 ;而在正常值上限 2倍以上 ,则生精功能丧失。病变不在睾丸和特发性无精子症者 ,FSH值水平正常或低下 ,LH、T、PRL值不一 ,部分患者生精障碍可随疾病的治愈而恢复。结论 :生殖激素水平可表示无精子症的不同病因 。Objective: To study the relationship between the reproductive hormone level in azoospermic men with varies causes and testis function of spermatogenesis and pathologic sites.Method: The serial hormne FSH?LH?T and PRL,value was determined by RIA in 657 azoospermic men. Results: In men with elevated FSH level,the pathologic changes were in testis and the fanction of spermatogenesis is injured.Men with elevated FSH level higher than two times of the normal upper limits lose their spermatogenetic functions.In men with normal or lower FSH level,yet varies LH,T and PRL value,pathologic changes were not in the testis or were idiopathic azoosperm,part of them can be cured.Conclusions: Reproducdive hormone levels in azoospermic men vary in causes.Elevated FSH value is the index of injury of testis spermatogenetic fuction.

关 键 词：无精子症 病因 生殖激素 生精功能 损伤 

分 类 号：R698.2[医药卫生—泌尿科学]