摘要
逆行射精(RE)的病理生理学尚未完全阐明,其病因复杂,临床表现缺乏特异性,射精后的尿液分析以及详细、准确的患者病史询问是诊断的重要依据。目前RE的诊断是临床难点,RE患者射精过程的超声下局部表现与正常射精过程存在差异,射精后尿液中精液的质量分析亦存在争议,同时由于临床医师对可能导致RE病因的认识不全面等问题,RE患者往往被误诊为“梗阻性无精子症”或“少弱精子症”,使患者承受不必要的检查与治疗。正常的射精功能对男女双方性生活质量具有一定影响,射精功能的保护也成为目前经尿道前列腺手术术后疗效评价的重要指标,因此如何鉴别RE具有积极的临床意义。
The pathophysiology of retrograde ejaculation(RE)has not been fully clarified.Its etiology is complex and clinical manifestations are nonspecific.Urinalysis after ejaculation and detailed medical history are important basis for the diagnosis.At present,the diagnosis of RE is a clinical difficulty.There are differences between the local manifestations under ultrasound in the ejaculation process of RE and the normal ejaculation,and the interpretation of semen quality analysis in urine after ejaculation is also controversial.At the same time,due to the incomprehensive understanding of the etiology of RE of the clinicians.The patients with RE are often misdiagnosed as"obstructive azoospermia"or"oligoasthenospermia",which make the patients suffer unnecessary examination and treatment.Normal function of ejaculation has a certain impact on the quality of sexual life of both men and women,and the protection of ejaculation function has become an important index for the evaluation of postoperative efficacy after transurethral prostate surgery,therefore how to identify RE has positive clinical significance.
作者
晏斌
郭军
田龙
YAN Bin;GUO Jun;TIAN Long(Department of Andrology,Xiyuan Hospital of China Academy of Chinese Medical Sciences,Beijng 100091,China;Department of Urology,Beijing Chaoyang Hospital,Capital Medical University,Beijng 100020,China)
出处
《医学综述》
CAS
2022年第16期3252-3258,共7页
Medical Recapitulate
基金
北京市自然科学基金(7222066)。
关键词
逆行射精
经尿道前列腺电切术
Α受体阻滞剂
射精障碍
Retrograde ejaculation
Transurethral resection of the prostate
α-receptor blockers
Ejaculatory dysfunction
