Bashore Lisa
Cook Children's Medical Center, Fort Worth, TX, USA.
Clin J Oncol Nurs. 2007 Jun;11(3):381-6. doi: 10.1188/07.CJON.381-386.
Semen preservation is a feasible procedure for male adolescents and young adults who may become infertile as a result of cancer therapy. Treatment for several pediatric malignancies puts adolescents and young adults at a significant risk for fertility dysfunction. Eligible male adolescents and young adults (N = 32) treated from January 2004 to June 2005 at Cook Children's Medical Center were offered semen preservation at the time of diagnosis or presentation to the center for treatment. Fifteen (47%) young men were successful in semen preservation. Two (6%) adolescents did not participate because of parental refusal. Seven (22%) were too ill, and eight (25%) failed to produce an adequate sample. Several patients were not successful because of time constraints, lack of counseling, and parental anxiety. Efforts for success in semen preservation should include private discussions between nurses and adolescents. In addition, information on infertility needs to be given to families early in the diagnostic phase to provide them with an opportunity to ask questions.
对于可能因癌症治疗而不育的男性青少年和青年来说，精液保存是一种可行的方法。几种儿科恶性肿瘤的治疗使青少年和青年面临生育功能障碍的重大风险。2004年1月至2005年6月在库克儿童医疗中心接受治疗的符合条件的男性青少年和青年（N = 32）在诊断时或到该中心接受治疗时被提供精液保存服务。15名（47%）青年成功保存了精液。两名（6%）青少年因父母拒绝而未参与。7名（22%）病情太重，8名（25%）未能采集到足够的样本。有几名患者因时间限制、缺乏咨询和父母焦虑而未成功。精液保存成功的努力应包括护士与青少年之间的私下讨论。此外，需要在诊断阶段早期就向家庭提供有关不育的信息，以便让他们有机会提问。
