单侧睾丸疾病患者的睾丸外分泌和内分泌功能
Exocrine and endocrine testicular function in patients with unilateral testicular disease.
作者信息
Scheiber K, Marberger H, Bartsch G
出版信息
J R Soc Med. 1983 Aug;76(8):649-51. doi: 10.1177/014107688307600806.
Amongst 30 patients who had undergone untwisting and fixation for unilateral torsion of the testis, seminal analyses were normal in 15, equivocal in 3 and pathological in 12; and of 46 men with cryptorchidism who had had unilateral orchidopexy, seminal analyses were normal in 13, equivocal in 23 and pathological in 10. Follicle-stimulating hormone levels were found to be elevated in those with equivocal and pathological seminal analyses in both groups. Assessment of testicular function before orchidectomy in 36 patients with seminomas and non-seminomatous testicular tumours revealed only one (with a HCG-negative seminoma) with a normal seminal analysis. Men with HCG-positive testicular tumours were found to have decreased follicle-stimulating hormone levels and elevated 17-beta-oestradiol and prolactin levels.
在30例接受过单侧睾丸扭转复位固定术的患者中，精液分析结果正常的有15例，结果不明确的有3例，异常的有12例；在46例接受过单侧睾丸下降固定术的隐睾症男性中，精液分析结果正常的有13例，结果不明确的有23例，异常的有10例。两组精液分析结果不明确和异常的患者促卵泡生成素水平均升高。对36例精原细胞瘤和非精原细胞瘤性睾丸肿瘤患者在睾丸切除术前进行的睾丸功能评估显示，只有1例（HCG阴性的精原细胞瘤患者）精液分析结果正常。发现HCG阳性睾丸肿瘤患者的促卵泡生成素水平降低，17-β-雌二醇和催乳素水平升高。
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