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二溴氯丙烷(DBCP):对睾丸功能和生殖性能的17年再评估

Dibromochloropropane (DBCP): a 17-year reassessment of testicular function and reproductive performance.

作者信息

Potashnik G, Porath A

机构信息

Department of Obstetrics and Gynecology, Soroka Medical Center of Kupat Holim, Beer-Sheva, Israel.

出版信息

J Occup Environ Med. 1995 Nov;37(11):1287-92. doi: 10.1097/00043764-199511000-00007.

Abstract

The current study summarizes a 17-year reevaluation of testicular function and reproductive performance of 15 production workers with dibromochloropropane (DBCP)-induced testicular dysfunction. Sperm count recovery was evident within 36 to 45 months in three of the nine azoospermic and in three of the six oligozoospermic men with no improvement thereafter. A significant increase in plasma follicle-stimulating hormone (FSH) and luteinizing hormone (LH) and a nonsignificant decrease in testosterone level were detected in the severely affected individuals. There was no increase in the rate of spontaneous abortions and congenital malformations among pregnancies conceived during or after exposure. A low prevalence of male infants conceived during paternal exposure was found as compared with the preexposure period (16.6% versus 52.9%; P<.025). Restoration of fertility was followed by a gradual increase of this value to 41.4%.

摘要

本研究总结了对15名因二溴氯丙烷(DBCP)导致睾丸功能障碍的生产工人进行的为期17年的睾丸功能和生殖性能重新评估。9名无精子症患者中的3名以及6名少精子症患者中的3名在36至45个月内精子计数明显恢复,此后无进一步改善。在受严重影响的个体中,检测到血浆促卵泡激素(FSH)和促黄体生成素(LH)显著升高,而睾酮水平有不显著下降。在接触期间或接触后受孕的妊娠中,自然流产率和先天性畸形率没有增加。与接触前相比,在父亲接触期间受孕的男婴患病率较低(16.6%对52.9%;P<0.025)。生育能力恢复后,这一数值逐渐上升至41.4%。

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