中国性科学
中國性科學
중국성과학
THE CHINESE JOURNAL OF HUMAN SEXUALITY
2014年
10期
25-27
,共3页
高催乳素血症%男性性功能障碍%诊治分析
高催乳素血癥%男性性功能障礙%診治分析
고최유소혈증%남성성공능장애%진치분석
Hyperprolactinemia%Male sexual dysfunction%Diagnosis and treatment
目的：分析血高催乳素血症导致的男性性功能障碍的诊断与治疗策略。方法：回顾性分析我院男科2011年至2012年收治的32名血高催乳素血症导致的男性性功能障碍患者的诊疗资料，总结血高催乳素血症导致男性性功能障碍的诊断与治疗方法。所有数据均建立Excel 2013数据库，并采取SPSS19.0的统计学软件进行数据分析，计量资料均采取t检验，分析治疗前后患者血清性激素的变化。结果：32例患者中有特发性高催乳素血症23例（71.88％）、有垂体腺瘤4例（12.50％）、有微腺瘤5例（15.63％）。有勃起功能障碍29例（90.63％）、有性欲减退32例（100.00％）、有性高潮障碍7例（21.88％）。32例患者治疗后的血清催乳素含量明显低于治疗前，差异具有统计学意义（P＜0.01）。32例患者治疗后的黄体生成素、卵泡刺激素以及睾酮水平均要明显高于治疗前，差异具有统计学意义（P＜0.01）。经治疗后32例患者的勃起功能障碍、性欲减退以及高潮障碍等症状均有所改善。结论：高催乳素血症导致的男性性功能障碍经过病史采集、临床特征、勃起功能指数测定、体格检查、激素测定以及垂体的影像学检查可明确诊断，甲磺酸溴隐亭与十一酸睾酮的治疗效果较好，值得临床推广。
目的：分析血高催乳素血癥導緻的男性性功能障礙的診斷與治療策略。方法：迴顧性分析我院男科2011年至2012年收治的32名血高催乳素血癥導緻的男性性功能障礙患者的診療資料，總結血高催乳素血癥導緻男性性功能障礙的診斷與治療方法。所有數據均建立Excel 2013數據庫，併採取SPSS19.0的統計學軟件進行數據分析，計量資料均採取t檢驗，分析治療前後患者血清性激素的變化。結果：32例患者中有特髮性高催乳素血癥23例（71.88％）、有垂體腺瘤4例（12.50％）、有微腺瘤5例（15.63％）。有勃起功能障礙29例（90.63％）、有性欲減退32例（100.00％）、有性高潮障礙7例（21.88％）。32例患者治療後的血清催乳素含量明顯低于治療前，差異具有統計學意義（P＜0.01）。32例患者治療後的黃體生成素、卵泡刺激素以及睪酮水平均要明顯高于治療前，差異具有統計學意義（P＜0.01）。經治療後32例患者的勃起功能障礙、性欲減退以及高潮障礙等癥狀均有所改善。結論：高催乳素血癥導緻的男性性功能障礙經過病史採集、臨床特徵、勃起功能指數測定、體格檢查、激素測定以及垂體的影像學檢查可明確診斷，甲磺痠溴隱亭與十一痠睪酮的治療效果較好，值得臨床推廣。
목적：분석혈고최유소혈증도치적남성성공능장애적진단여치료책략。방법：회고성분석아원남과2011년지2012년수치적32명혈고최유소혈증도치적남성성공능장애환자적진료자료，총결혈고최유소혈증도치남성성공능장애적진단여치료방법。소유수거균건립Excel 2013수거고，병채취SPSS19.0적통계학연건진행수거분석，계량자료균채취t검험，분석치료전후환자혈청성격소적변화。결과：32례환자중유특발성고최유소혈증23례（71.88％）、유수체선류4례（12.50％）、유미선류5례（15.63％）。유발기공능장애29례（90.63％）、유성욕감퇴32례（100.00％）、유성고조장애7례（21.88％）。32례환자치료후적혈청최유소함량명현저우치료전，차이구유통계학의의（P＜0.01）。32례환자치료후적황체생성소、란포자격소이급고동수평균요명현고우치료전，차이구유통계학의의（P＜0.01）。경치료후32례환자적발기공능장애、성욕감퇴이급고조장애등증상균유소개선。결론：고최유소혈증도치적남성성공능장애경과병사채집、림상특정、발기공능지수측정、체격검사、격소측정이급수체적영상학검사가명학진단，갑광산추은정여십일산고동적치료효과교호，치득림상추엄。
Objectives:To analyze the diagnostic and therapeutic strategies of male sexual dysfunction caused by hyperprolactinemia.Methods:A retrospective analysis of the data of 32 male subjects with sexual dys-function caused by hyperprolactinemia treated in our hospital from 201 1 to 2012 was conducted to summarize the di-agnostic and therapeutic methods of male sexual dysfunction caused by hyperprolactinemia.All data were put into Excell2013 database and statistical software SPSS19.0 was used for data analysis;measurement data were taken t test to analyze the changes of serum sex hormones before and after treatment.Results:1 )There were 23 cases (71.88%)of idiopathic hyperprolactinemia,4 cases (12.50%)of micro adenoma and 5 cases (15.63%)of pitu-itary adenoma among the 32 patients.There were 29 cases (90.63%) of erectile dysfunction,32 cases (100.00%)of decreased libido and 7 cases (21.88%)of orgasmic disorder among the 32 patients.2)The serum prolactin levels of 32 patients after treatment were significantly lower than that before the treatment,with statistically significant difference (P<0.01);The levels of luteinizing hormone,follicle-stimulating hormone and testosterone of 32 patients after treatment were significantly higher than those before the treatment,with statistically significant difference (P<0.01).3)After treatment,the erectile dysfunction,decreased libido,orgasmic dysfunction and other symptoms of 32 patients were improved.Conclusion:Male sexual dysfunction caused by hyperprolactinemia can be confirmed through history taking,clinical characteristics,erectile function index determination,physical ex-amination,hormonal measurement and imaging of pituitary.The efficacy of Bromocriptine Mesylate and testosterone undecanoate is better and worthy of promotion.
