流行性腮腺炎性睾丸炎的无精子症与防治策略

Azoospermia of epidemic mumps orchitis and prevention strategy

睾丸炎是青春期、成人男性流行性腮腺炎(EM)患者的常见并发症,已往认为流行性腮腺炎性睾丸炎(EMO)一般不引起或很少引起男性不育症。近年来,随着青少年、成人EM发病率的上升和相关研究的深入,EMO所致的无精子症病例日渐增多,成为临床无精子症最常见的原因之一。本文通过国内外文献,就EMO睾丸萎缩、无精子症发病率、临床检测、预后和防治策略等进展进行阐述。

Orchitis is a common complication of epidemic mumps(EM)in adolescent and adult males.It had been thought that epidemic mumps orchitis(EMO)generally not or seldom causes male infertility.In recent years,with the increasing incidence of EM in adolescents and adults and in-depth clinical research,EMO had become one of the most common cause of azoospermia.Through domestic and foreign literatures,the research progress of testicular atrophy of EMO,the incidence of azoospermia,clinical detection,prognosis and prevention strategies were elaborated in detail.