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脊髓损伤男性的生育能力。

The fertility of men with spinal injuries.

作者信息

Brindley G S

出版信息

Paraplegia. 1984 Dec;22(6):337-48. doi: 10.1038/sc.1984.56.

DOI:10.1038/sc.1984.56
PMID:6335235
Abstract

Application of a vibrator of 80 Hz and 2.5 mm amplitude to the lower surface of the glans penis caused ejaculation in less than 20 minutes (usually less than 3 minutes) in 48 of 81 men with spinal cord injuries (mostly complete) of more than 6 months duration. It failed in all the 19 of the 81 who lacked reflex hip flexion on scratching the soles of the feet, and in 14 others. It failed in 11 of 12 men with injuries of less than 6 months' duration. From 21 of 34 men for whom the vibrator failed, semen could be obtained by electroejaculation, which is just as successful within 6 months of injury as subsequently and may succeed even if reflex hip flexion is absent. Eleven pregnancies where the father had a complete or nearly complete spinal cord lesion are reported. Nine healthy children have been born.

摘要

对81名脊髓损伤(大多为完全性损伤)超过6个月的男性,将频率80赫兹、振幅2.5毫米的振动器置于阴茎头下表面,48人在不到20分钟(通常不到3分钟)内射精。81人中,19人在搔抓足底时缺乏反射性髋部屈曲,另外14人,振动器刺激均未成功。12名损伤时间不到6个月的男性中,11人刺激失败。34名使用振动器刺激失败的男性中,21人可通过电射精获取精液,损伤后6个月内进行电射精与之后进行同样成功,即使没有反射性髋部屈曲也可能成功。报告了11例父亲患有完全性或近乎完全性脊髓损伤的妊娠情况。已出生9名健康儿童。

相似文献

1
The fertility of men with spinal injuries.脊髓损伤男性的生育能力。
Paraplegia. 1984 Dec;22(6):337-48. doi: 10.1038/sc.1984.56.
2
Quality of semen after repeated ejaculation treatment in spinal cord injury men.脊髓损伤男性重复射精治疗后的精液质量
Paraplegia. 1990 Feb;28(2):96-104. doi: 10.1038/sc.1990.12.
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Semen retrieval in spinal cord injured men.脊髓损伤男性的精液采集
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Ejaculation induced by penile vibratory stimulation in men with spinal cord injuries. The importance of the vibratory amplitude.阴茎振动刺激诱导脊髓损伤男性射精。振动幅度的重要性。
Paraplegia. 1994 Oct;32(10):651-60. doi: 10.1038/sc.1994.105.
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Application of 2 vibrators salvages ejaculatory failures to 1 vibrator during penile vibratory stimulation in men with spinal cord injuries.在脊髓损伤男性的阴茎振动刺激过程中,使用2个振动器可挽救对1个振动器射精失败的情况。
J Urol. 2007 Feb;177(2):660-3. doi: 10.1016/j.juro.2006.09.044.
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Electroejaculation in patients with spinal cord injury: first report of a large-scale experience from Japan.
Int J Urol. 1995 Nov;2(5):326-9.
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Treatment of anejaculation with electroejaculation.用电刺激射精治疗不射精症。
Acta Urol Belg. 1992;60(3):15-25.
8
Pregnancy results from a vibrator application, electroejaculation, and a vas aspiration programme in spinal-cord injured men.脊髓损伤男性通过使用振动器、电射精和输精管抽吸程序实现了怀孕。
Hum Reprod. 1995 Sep;10(9):2305-7. doi: 10.1093/oxfordjournals.humrep.a136290.
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[The spinal cord injured patient: semen quality and management by Assisted Reproductive Technology].[脊髓损伤患者:精液质量与辅助生殖技术管理]
Gynecol Obstet Fertil. 2010 Sep;38(9):532-5. doi: 10.1016/j.gyobfe.2010.07.007. Epub 2010 Aug 11.
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[Penile vibratory stimulation and electroejaculation in the treatment of ejaculatory dysfunction].阴茎振动刺激和电射精治疗射精功能障碍
Zhonghua Nan Ke Xue. 2005 Mar;11(3):219-22.

引用本文的文献

1
Clinical review of ejaculatory dysfunction.射精功能障碍的临床综述
Reprod Med Biol. 2019 Jul 24;18(4):331-343. doi: 10.1002/rmb2.12289. eCollection 2019 Oct.
2
Retrospective review on effectiveness of high-amplitude penile vibratory stimulation for conservative sperm retrieval in anejaculatory men with spinal cord injury: an Asian case series.高振幅阴茎振动刺激对脊髓损伤所致不射精男性进行保守性取精的有效性回顾性研究:一项亚洲病例系列研究
Spinal Cord Ser Cases. 2016 Apr 7;2:15038. doi: 10.1038/scsandc.2015.38. eCollection 2016.
3
Advances in the management of infertility in men with spinal cord injury.
脊髓损伤男性不育症治疗的进展
Asian J Androl. 2016 May-Jun;18(3):382-90. doi: 10.4103/1008-682X.178851.
4
Fertility treatment in spinal cord injury and other neurologic disease.脊髓损伤及其他神经系统疾病中的生育治疗。
Transl Androl Urol. 2016 Feb;5(1):102-16. doi: 10.3978/j.issn.2223-4683.2015.12.10.
5
Sperm chromosomal aneuploidy and DNA integrity of infertile men with anejaculation.不育症伴不射精患者的精子染色体非整倍体和 DNA 完整性。
J Assist Reprod Genet. 2012 Feb;29(2):185-94. doi: 10.1007/s10815-011-9688-4. Epub 2012 Jan 4.
6
[The impact of spinal cord injury on sexuality and reproduction].[脊髓损伤对性与生殖的影响]
Urologe A. 2004 Jan;43(1):52-63. doi: 10.1007/s00120-003-0475-4.
7
Fertility in the testicular cancer patient.睾丸癌患者的生育能力。
World J Urol. 1993;11(2):70-5. doi: 10.1007/BF00182032.
8
Ejaculatory failure.射精功能障碍
World J Urol. 1993;11(2):89-95. doi: 10.1007/BF00182035.
9
Neurological correlations of ejaculation and testicular size in men with a complete spinal cord section.完全性脊髓横断男性射精与睾丸大小的神经学关联
J Neurol Neurosurg Psychiatry. 1988 Feb;51(2):197-202. doi: 10.1136/jnnp.51.2.197.
10
Clinical observations in vibratory stimulation of the penis of men with spinal cord injury.脊髓损伤男性阴茎振动刺激的临床观察
Arch Sex Behav. 1989 Dec;18(6):461-74. doi: 10.1007/BF01541673.