肾移植术后男性受者的性功能及其生育子女的健康状况

Investigation of sexual function and health of offspring in male kidney transplant recipients

目的调查和评价肾移植术后男性受者的性功能及其生育子女的健康状况。方法将患病前有正常性生活及术后移植肾功能恢复良好的60例男性肾移植受者纳入研究。采用问卷调查法对全部60例受者术后首次遗精时间、性生活能力、性生活频率及满意率、生育子女以及子女的发育状况和智力水平等进行调查和评价，同时对受者手术前后的精液做常规检查。结果所有60例受者术前均存在性欲不良或性功能下降，而术后随着移植肾功能的逐渐恢复正常，受者的性功能得到明显改善。术后1-3个月有54例受者出现遗精，另6例因有性生活而未出现遗精；术后除4例受者担心性生活会损害移植肾功能拒绝性生活外，其余56例在术后2-4个月内恢复性生活，性生活满意率为86．7％（52／60），这56例受者术后共生育子女68个，所有子女的健康状况和智力水平较同龄儿童无明显差异。受者在生育子女后无一例发生移植肾功能衰竭或排斥反应。结论肾移植术后男性受者的性功能可以恢复至正常水平，在医生的指导下生育子女是安全的，并且肾移植后男性受者生育的子女的健康状况和智力水平均无异常。

Objective To investigate sexual function in male kidney transplant recipients and their offsprings health condition. Methods We studied 60 male kidney transplant recipients who had a normal sex life before kidney failure and had good renal graft function after transplant. The questionnaire was used to investigate the time of first spermatorrhea, viability of sex activities, frequency and sexual intercourse satisfaction of sex activities, procreation status, growth and intelligence status of the offspring. Semen routine tests before and after the transplantation were done. Results Hyposexuality or declined sexual function was found in all over 60 cases of recipients. And after surgery, sexual function of the recipients was improved obviously following the graft function gradually regained. Fifty-four patients had spermatorrhea in the first 1-3 months post-transplantation, and rest 6 cases had no spermatorrhea because of sexual life. After operation 56 male patients began to have sex life in 2-4 months with satisfaction rate of 86. 7% （52/60）, except the other 4 cases who refused sex life due to worrying about graft damage by sex life. Sixty-eight children were born by 56 recipients after operation,and the growth and intelligence status had no significant difference from the children of the same age. No transplant graft failure or rejection was found after the recipients had children. Conclusion After kidney transplantation, the sexual function of male recipients could return to the normal status and the growth and intelligence status of the offspring is normal.