论文部分内容阅读
神经性不射精并非男性不育的常见原因,多在脊髓损伤、晚期糖尿病或其它神经系 统疾病如多发性硬化以及根治性腹膜后手术者中发生。这类患者交感神经功能紊乱,抑制了正常射精,膀胱颈部闭合神经损伤可导致逆行射精。α-受体激动剂可增加交感神经的兴奋性,可促进射精。当药物治疗失败后,可用阴茎电动刺激法来获得精液,但并非全部成功。因此,当需探索另外的方法来进行精子回收,Levine对11例神经性不射精或输精管梗阻者,进行输精管精子抽吸来获得有效质量和数量的精子,用于辅助生殖技术或冰冻保存。
Neurological non-ejaculation is not a common cause of male infertility, mostly in spinal cord injury, advanced diabetes or other neurological diseases such as multiple sclerosis and radical retroperitoneal surgery occurred. Such patients with sympathetic dysfunction, inhibition of normal ejaculation, bladder neck closed nerve injury can lead to retrograde ejaculation. Alpha-receptor agonists increase sympathetic excitability and promote ejaculation. When drug treatment fails, penis stimulation can be used to obtain semen, but not all have been successful. Therefore, while exploring alternative ways to recover sperm, Levine performed vasospasm suction on 11 patients with neurological non-ejaculation or vas deferens to obtain effective mass and quantity of sperm for assisted reproductive technology or cryopreservation.