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丈夫精子蹊跷消失原是附睾炎惹祸

2017-09-05 07:41:43   中国青年网

本报讯(记者刘璇 通讯员陈娅莉 杨敬慈)努力备孕二胎,肚子却迟迟没有动静。夫妻俩到医院检查,发现问题竟出在老公身上:3年前生过一个孩子,老公现在一个精子都没有。

30岁的刘先生热爱运动,身体不错。3年前,女儿出生。今年年初刘先生夫妇开始备孕二胎,没想到半年过去了,妻子的肚子一点动静都没有。焦急的小夫妻跑到医院去做检查,却被医生告知老公的精液里根本没有“种子”。

一周前,焦虑万分的刘先生找到了武汉市第一医院生殖医学科。他告诉医生,当年怀大宝时特意到医院做过检查,那时候精液都是正常的。好好的精子怎么会突然凭空“消失”呢?他怀疑是医生检验时错拿了别人的精液,要求再做一次检查。结果出来,依然显示没有精子,刘先生傻眼了。

接诊的生殖医学科的吴春林博士一边安慰他,一边耐心询问情况。细心的吴春林发现,刘先生2年前曾感染过附睾炎,断断续续治疗了两三个月才好。“附睾炎很可能就是幕后黑手。”随后的睾丸穿刺检查证实了他的判断:刘先生正是附睾炎引起的梗阻性无精子症。得知这种情况可以通过试管受孕,刘先生这才松了一口气。

吴春林解释,附睾是男性生殖系统的“重头戏”,它的炎症会改变附睾内环境,影响精子的发育和成熟,还会堵塞附睾管,影响精子的输出,造成梗阻性无精症。目前无精子症已经占到男性不育患者的10%-20%,内分泌紊乱、感染、精索静脉曲张、睾丸扭转、外伤等都可能导致无精。他提醒不育夫妇,男方发现无精子症,应及时到正规生殖医学中心接受正规治疗,医生会根据情况选择合适的治疗。

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