男性神经系统不育症患者的管理  

Management of male patients with neurological infertility

作　　者：陈进聪 叶称连 张婕瑜 刘敏[1] 刘朝霞[1] CHEN Jincong;YE Chenglian;ZHANG Jieyu;LIU Min;LIU Zhaoxia(The First Affiliated Hospital of Gannan Medical College,Ganzhou,Jiangxi,341000,China)

机构地区：[1]赣南医学院第一附属医院,江西赣州341000

出　　处：《当代医学》2024年第2期190-194,共5页Contemporary Medicine

基　　金：市级科研计划项目(2022-2-068)。

摘　　要：男性的性行为和生育能力很大程度上依赖于下丘脑-垂体-性腺轴及脊髓和骨盆底完整的神经功能。神经系统疾病可导致不育症,神经系统不育症最常见的原因是射精功能障碍。随着医学界对男性健康的关注度越来越高,男性神经系统不育症患者的管理越来越必要。本文对男性正常的生育能力和射精、神经性疾病如何影响射精及非射精的可能治疗方法进行综述,并为不能获得射精的患者的后续管理提供建议,具有重要的临床指导意义。Male sexuality and fertility depend heavily on the hypothalamic-pituitary-gonadal axis as well as the intact nerve function of the spinal cord and pelvic floor.Neurological disorders can lead to infertility,and the most common cause of neurological infertility is ejaculation dysfunction.With the increasing attention of the medical community to male health,the management of male patients with nervous system infertility is becoming more and more necessary.This article reviews normal male fertility and ejaculation,how neuropathic diseases affect ejaculation,and possible treatment of non-ejaculation,and provides suggestions for follow-up management of patients who cannot obtain ejaculation,which has important clinical guiding significance.

关 键 词：男性 神经系统疾病 不育症 管理 

分 类 号：R698.2[医药卫生—泌尿科学]