中华器官移植杂志
中華器官移植雜誌
중화기관이식잡지
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
2012年
12期
710-712
,共3页
肾移植%受者%男性%性功能%生育
腎移植%受者%男性%性功能%生育
신이식%수자%남성%성공능%생육
Kidney transplantation%Recipients%Male%Sexual function%Reproduction
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.
目的 調查和評價腎移植術後男性受者的性功能及其生育子女的健康狀況.方法 將患病前有正常性生活及術後移植腎功能恢複良好的60例男性腎移植受者納入研究.採用問捲調查法對全部60例受者術後首次遺精時間、性生活能力、性生活頻率及滿意率、生育子女以及子女的髮育狀況和智力水平等進行調查和評價,同時對受者手術前後的精液做常規檢查.結果 所有60例受者術前均存在性欲不良或性功能下降,而術後隨著移植腎功能的逐漸恢複正常,受者的性功能得到明顯改善.術後1~3箇月有54例受者齣現遺精,另6例因有性生活而未齣現遺精;術後除4例受者擔心性生活會損害移植腎功能拒絕性生活外,其餘56例在術後2~4箇月內恢複性生活,性生活滿意率為86.7%(52/60),這56例受者術後共生育子女68箇,所有子女的健康狀況和智力水平較同齡兒童無明顯差異.受者在生育子女後無一例髮生移植腎功能衰竭或排斥反應.結論 腎移植術後男性受者的性功能可以恢複至正常水平,在醫生的指導下生育子女是安全的,併且腎移植後男性受者生育的子女的健康狀況和智力水平均無異常.
목적 조사화평개신이식술후남성수자적성공능급기생육자녀적건강상황.방법 장환병전유정상성생활급술후이식신공능회복량호적60례남성신이식수자납입연구.채용문권조사법대전부60례수자술후수차유정시간、성생활능력、성생활빈솔급만의솔、생육자녀이급자녀적발육상황화지력수평등진행조사화평개,동시대수자수술전후적정액주상규검사.결과 소유60례수자술전균존재성욕불량혹성공능하강,이술후수착이식신공능적축점회복정상,수자적성공능득도명현개선.술후1~3개월유54례수자출현유정,령6례인유성생활이미출현유정;술후제4례수자담심성생활회손해이식신공능거절성생활외,기여56례재술후2~4개월내회복성생활,성생활만의솔위86.7%(52/60),저56례수자술후공생육자녀68개,소유자녀적건강상황화지력수평교동령인동무명현차이.수자재생육자녀후무일례발생이식신공능쇠갈혹배척반응.결론 신이식술후남성수자적성공능가이회복지정상수평,재의생적지도하생육자녀시안전적,병차신이식후남성수자생육적자녀적건강상황화지력수평균무이상.
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.