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[隐睾症的激素治疗:适应证与局限性]

[Hormonal treatment of cryptorchism: indications and limitations].

作者信息

Bertelloni S, Lombardi D, Saggese G

机构信息

Dipartimento di Medicina della Procreazione e dell'Età Evolutiva, Divisione di Pediatria II, Ospedale Santa Chiara di Pisa, Italia.

出版信息

Pediatr Med Chir. 1999 Nov-Dec;21(6):267-73.

Abstract

Cryptorchidism is the most frequent anomaly of male genitalia. The major concerns of cryptorchidism are on psychological problems in childhood and infertility and increased cancer risk in adulthood. Medical treatment with various hormones has been used in the last 70 years to induce testicular descent, but some discrepancy exists in the various reports. In this paper, the efficacy on testicular descent, the effect on adult fertility and the inferences on risk of malignancy of the various hormonal strategies are reviewed and briefly discussed. From the literature data, a practical approach to the hormonal treatment of cryptorchism is suggested.

摘要

隐睾症是男性生殖器最常见的异常情况。隐睾症主要令人担忧的是儿童期的心理问题以及成年期的不育症和患癌风险增加。在过去70年里,人们使用了各种激素进行医学治疗以促使睾丸下降,但不同报告之间存在一些差异。本文对各种激素策略在促使睾丸下降方面的疗效、对成年生育能力的影响以及对恶性肿瘤风险的推断进行了综述并简要讨论。根据文献数据,提出了一种治疗隐睾症的激素疗法实用方法。

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