男性性功能症状评分联合游离睾酮水平诊断迟发性性腺功能减退症的临床研究  

Clinical study of male sexual function symptom score joint free testosterone levelson diagnosis of delayed hypogonadism

作　　者：李辉[1] 王荣江[1] 王伟高[1] 

机构地区：[1]湖州市第一人民医院(湖州师范学院附属第一医院)泌尿外科,浙江湖州313000

出　　处：《中国性科学》2015年第6期5-8,共4页Chinese Journal of Human Sexuality

摘　　要：目的:探讨分析男性性功能症状评分联合游离睾酮水平诊断迟发性性腺功能减退症患者的有效性和可行性。方法:选择对象为2010年3月至2014年3月期间来我院体检的100例中老年人,对其进行自制男性性功能症状评分问卷、中老年男子雄激素缺乏问卷、老年男子症状问卷,同时检测血清中游离睾酮水平,观察分析男性性功能症状评分与游离睾酮水平诊断迟发性性腺功能减退症的临床效果。结果:男性性功能症状评分问卷筛选LOH的阳性率为28.0%;中老年男子雄激素缺乏问卷筛选LOH的阳性率为73.0%;老年男子症状问卷筛选LOH阳性率为61.0%;游离睾酮水平在阳性人群和阴性人群存在显著性差异(P<0.05)。结论:男性性功能症状评分联合游离睾酮水平能够更准确地预测诊断迟发性性腺功能减退症,是一种值得在临床上推广的诊断方法。Objectives： To investigate the effectiveness and feasibility of male sexual function symptom score joint free testosterone levels on diagnosis of delayed hypogonadism. Methods： 100 elderly persons received physical examination in our hospital from March 2010 to March 2014 were selected. The homemade male sexual function symptom score questionnaire, the androgen deficiency questionnaire for elderly men and older men symptom questionnaire were conducted. Meanwhile, serum free testosterone levels were tested to observe and analyze clinicaleffects of male sexual function score and free testosterone levels on the diagnosis of delayed hypogonadism. Results： In male sexual function symptom score questionnaire screening, LOH positive rate was 28.0% ; in androgen deficiency screening questionnaire in elderly men, the LOH positive was 73.0% ; in older men symptom questionnaire screening, LOH positive rate was 61.0% ; free testosterone levels in the positive crowd and negative crowd were significantly different （ P 〈 0. 05 ）. Conclusion： Male sexual function symptom score joint free testosterone levels can more accurately tredict the diamaosis of late - onset hvoogonadism, which is worthy of oromotion.

关 键 词：男性性功能症状评分 游离睾酮水平 迟发性性腺功能减退症 诊断 

分 类 号：R698[医药卫生—泌尿科学]