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糖尿病引起逆行射精所致不育的治疗策略 被引量:1

Treatment strategy of infertility due to retrograde ejaculation induced by diabetes mellitus
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摘要 目的针对因糖尿病引起的逆行射精所致不育的男性患者,评估其在接受药物保守治疗或其配偶接受夫精人工授精治疗后的效果。方法回顾性分析近5年有生育要求但因糖尿病引起逆行射精所致不育的9例男性患者,所有患者均接受了糖尿病教育,长期注射中效胰岛素并口服甲钴胺、α-硫辛酸等药物治疗,另对其中的2例患者配偶实施了宫腔内夫精人工授精治疗。结果 9例患者空腹血糖均达标,糖化血红蛋白控制在正常范围内,但逆行射精症状无1例改善,2例经4个周期夫精人工授精治疗的患者配偶均未妊娠。结论因糖尿病引起的逆行射精所致不育的男性患者,即使严格控制血糖,药物保守治疗及夫精人工授精也不能有效解决患者的生育问题,建议尽早行体外授精-胚胎移植治疗。 Objective To evaluate the effect of conservative treatment of male patients with infertility due to retrograde ejaculation caused diabetes mellitus, and to explore the effective therapy after conservative treatment. Methods A retrospective analysis of nearly five years of fertility requirements but because of diabetes induced by retrograde ejaculation infertility of 9 cases of male patients. All patients received diabetes education, long-term injection acting insulin and oral methylcobalamin, alpha lipoic acid drug treatment and so on. 2 cases patients spouses were treated by artificial insemination with the husband sperm. Results The fasting blood glucose of 9 patients were up to the standard, the glycosylated hemoglobin was in normal range, but the retrograde ejaculation was not improved in all of 9 cases.2 cases among 9 cases were treated with 4 cycles of husband semen, and the spouses of the patients were not pregnant. Conclusion Due to diabetes induced by retrograde ejaculation infertility male patients, even if the strict control of blood glucose, drug conservative treatment and husband sperm insemination, All of which can not effectively solve patients with fertility problems, as soon as possible in vitro fertilization - embryo transfer treatment should be advised.
作者 马征兵 Ma Zhengbing.(The Women and Children 's health Hospital of, Anyang City,Anyang, Henan 45500)
出处 《基层医学论坛》 2016年第36期5075-5077,共3页 The Medical Forum
关键词 逆行射精 糖尿病 不育症 精子 夫精人工授精 Retrograde ejaculation Diabetes mellitus Infertile Sperm Artificial Insemination by Husband
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