Koeppel K M
Intensive Care Unit at Roswell Park Cancer Institute, Cheektowaga, New York 14225, USA.
Cancer Nurs. 1995 Aug;18(4):306-12.
In 1994, approximately 52,000 new cancers will have occurred in patients < or = 34 years of age. Reported survival rates for tumors common to males in this age group are promising and are expected to improve. Chemotherapy treatment may produce infertility, and without appropriate intervention, the aspiration of producing offspring may never be realized. Semen cryopreservation (sperm banking) may be offered to male patients with cancer as an intervention to circumvent loss of procreation ability resulting from chemotherapy-induced infertility. Oncology nurses can discuss infertility and sperm banking with patients at the most opportune time, before initiation of chemotherapy. Considerable debate exists among health-care professionals regarding the practicality and usage of sperm banking for young adult male patients with cancer being treated with chemotherapy. In addition, health-care professionals may be uncomfortable discussing issues of a sexual nature with patients. Staff nurses administering chemotherapy to young adult males need to work toward improving their knowledge about the effects of cancer and cancer treatment on reproduction. Improved knowledge will reinforce the importance of offering sperm banking to circumvent treatment-induced infertility.
1994年，年龄小于或等于34岁的患者中约有52000例新发癌症。该年龄组男性常见肿瘤的报告生存率很可观，且有望提高。化疗可能导致不育，若没有适当干预，生育后代的愿望可能永远无法实现。精液冷冻保存（精子库）可作为一种干预措施提供给患癌症的男性患者，以避免化疗所致不育导致的生育能力丧失。肿瘤学护士可以在化疗开始前的最佳时机与患者讨论不育和精子库问题。在医疗保健专业人员中，对于为接受化疗的年轻成年男性癌症患者提供精子库的实用性和使用方法存在相当大的争议。此外，医疗保健专业人员可能会对与患者讨论性方面的问题感到不自在。为年轻成年男性实施化疗的护士需要努力提高自己对癌症及癌症治疗对生殖影响的认识。知识的增进将强化提供精子库以避免治疗所致不育的重要性。
