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2023, 03, v.32 323-331
副性腺炎症性男性不育专家共识
基金项目(Foundation):
邮箱(Email): xuefhuang@wmu.edu.cn;gnhuang217@sina.com;
DOI:
投稿时间: 2023-01-11
投稿日期(年): 2023
修回时间: 2023-01-30
终审时间: 2023-02-07
终审日期(年): 2023
审稿周期(年): 1
发布时间: 2023-03-15
出版时间: 2023-03-15
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摘要:

关于副性腺炎症性男性不育,现阶段缺乏相应的规范及共识指导生殖专科医生开展相应的诊疗活动。中华医学会生殖医学分会男性生殖和精子库管理学组专家,参考新近的指南及文献,共同编写了副性腺炎症性男性不育专家共识。对前列腺炎与不育、精囊腺炎与不育、附睾炎与不育及副性腺炎症性男性不育的诊断与治疗推荐提出了专家建议,以此来规范和发展我国副性腺炎症性男性不育的临床诊疗工作。

Abstract:

Accessory gland inflammatory male infertility is no standard operating procedure and consensus to guide specialists to carry out medical activities at present. Expert of male reproduction and sperm bank management group of Chinese society of reproductive medicine referred to the latest guidelines and literatures, and jointly compiled an expert consensus on the Accessory gland inflammatory male infertility, to put forward expert recommendations on prostatitis and infertility, seminal vesiculitis and infertility, epididymitis and infertility, recommendations for diagnosis and treatment of accessory gland inflammatory male infertility, in order to standardize and develop clinical diagnosis and treatment of accessory gland inflammatory male infertility in China.

参考文献

[1] Weidner W,Pilatz A,Diemer T,et al.Male urogenital infections:impact of infection and inflammation on ejaculate parameters[J].World J Urol,2013,31:717-723.

[2] Krieger JN,Nyberg L Jr,Nickel JC.NIH consensus definition and classification of prostatitis[J].JAMA,1999,281:236-237.

[3] Huang WD,Liu P,Huang WJ.Clinical classification of chronic prostatitis:a preliminary investigation[J].Asian J Androl,2000,2:311-313.

[4] Samplaski MK,Li J,Shoskes DA.Clustering of UPOINT domains and subdomains in men with chronic prostatitis/chronic pelvic pain syndrome and contribution to symptom severity[J].J Urol,2012,188:1788-1793.

[5] Shoskes DA,Nickel JC,Kattan MW.Phenotypically directed multimodal therapy for chronic prostatitis/chronic pelvic pain syndrome:a prospective study using UPOINT[J].Urology,2010,75:1249-1253.

[6] 黄宇烽,潘连军,黄卫东主编.男科医师手册[M].北京:人民卫生出版社,2009:160-161.

[7] Everaert K,Mahmoud A,Depuydt C,et al.Chronic prostatitis and male accessory gland infection--is there an impact on male infertility (diagnosis and therapy) [J].Andrologia,2003,35:325-330.

[8] Roberts RO,Lieber MM,Bostwick DG,et al.A review of clinical and pathological prostatitis syndromes[J].Urology,1997,49:809-821.

[9] Motrich RD,Salazar FC,Breser ML,et al.Implications of prostate inflammation on male fertility[J].Andrologia,2018,50:e13093.

[10] Sivkov AV,Oshchepkov VN,Evdokimov VV,et al.Selzink plus study in patients with chronic non-infectious prostatitis and abnormal fertility[J].Urologiia,2011,5:27-28,30-33.

[11] Condorelli RA,Russo GI,Calogero AE,et al.Chronic prostatitis and its detrimental impact on sperm parameters:a systematic review and meta-analysis[J].J Endocrinol Invest,2017,40:1209-1218.

[12] Shang Y,Liu C,Cui D,et al.The effect of chronic bacterial prostatitis on semen quality in adult men:a meta-analysis of case-control studies[J].Sci Rep,2014,4:7233.

[13] Pilatz A,Boecker M,Schuppe HC,et al.Infection und infertility[J].Urologe A,2016,55:883-889.

[14] 魏辉,翁潭潭,梅骅,等.慢性非细菌性前列腺炎患者前列腺液中尿酸和肌酐测定患者的意义[J].临床泌尿外科杂志,2004,19:275-277.

[15] Cui D,Han GW,Shang YG,et al.The effect of chronic prostatitis on zinc concentration of prostatic fluid and seminal plasma:a systematic review and meta-analysis[J].Curr Med Res Opin,2015,31:1763-1769.

[16] 陈明国,张玉杰,韩兵.慢性前列腺炎对男性不育症患者精液质量的影响[J].中国性科学,2015,24:91-93.

[17] 王中兴,刘浩,吴丽娟,等.男性不育症患者中常见病原体感染对精液参数的影响[J].生殖医学杂志,2016,25:364-367.

[18] 尹彪,刘红杰,赵明,等.精浆中锌、果糖和肉碱含量与精液参数的关系[J].中华男科学杂志,2013,19:1051-1053.

[19] 赵晖,申吉泓,陈玉平,等.Ⅲ型前列腺炎患者精液参数、锌浓度及抗菌活性的变化[J].中华男科学杂志,2008,14:530-532.

[20] 程光舟,单锋芝,盛春来,等.前列腺特异性抗原降低不育患者精浆粘度的观察[J].中国男科学杂志,2007,21:49-51.

[21] 潘继文,李京南.前列腺特异性抗原临床应用进展[J].实用医技杂志,2005,12:1812-1813.

[22] 潘云,唐任光,李北林.不育患者精浆酸性磷酸酶和前列腺特异抗原含量与精子质量的关系[J].检验医学与临床,2008,5:390-391.

[23] 杨险峰,郭良慧,王祖龙,等.男性不育症患者精浆酸性磷酸酶与精浆生化指标的相关性研究[J].临床泌尿外科杂志,2011,26:694-696.

[24] 郑利平,朱旭,覃坚,等.不育症患者精液微量元素与精液质量之间的相关性分析[J].国际检验医学杂志,2012,33:659-660.

[25] 张海晨,李自强.勃起功能障碍合并慢性前列腺炎的综合治疗疗效观察[J].中国男科学杂志,2013,27:51-54.

[26] 陈智彬,傅承忠,程支利,等.慢性前列腺炎相关性性功能障碍的研究[J].中国性科学,2013,22:27-29.

[27] Vignera SL,Vicari E,Condorelli RA,et al.Male accessory gland infection and sperm parameters (review)[J].Int J Androl,2011,34(5 Pt 2):e330-e347.

[28] Comhaire F,Verschraegen G,Vermeulen L.Diagnosis of accessory gland infection and its possible role in male infertility[J].Int J Androl,1980,3:32-45.

[29] 徐爱明,王增军.精囊的生理功能与男性不育的关系[J].国际生殖健康/计划生育杂志,2014,33:465-468.

[30] 张新东,金保方.精囊在男性生殖和性功能中的作用[J].中华男科学杂志,2007,13:1113-1116.

[31] 洪怀山,许恩赐.精液液化异常病因学研究进展[J].国际泌尿系统杂志,2009,29:379-382.

[32] 毛金观,李琴.生殖道感染对男性不育患者精浆果糖的影响[J/CD].中华临床医师杂志(电子版),2015,9:4593-4596.

[33] 叶小萍,舒程玲,刘敏.精浆果糖浓度与精子3项参数的关系对男性不育的影响[J].中国实验诊断学,2010,14:1640-1641.

[34] 张旻,任炜,易蜀蓉,等.精囊炎对精液质量的影响[J].新疆医学,2011,41(S1):56-57.

[35] Umeda T,Eguchi Y,Okino K,et al.Cellular localization of urokinase-type plasminogen activator,its inhibitors,and their mRNAs in breast cancer tissues[J].J Pathol,2015,183:388-397.

[36] Lakk M,Denes V,Kovacs K,et al.Pituitary adenylate cyclase-activating peptide (PACAP),a novel secretagogue,regulates secreted morphogens in newborn rat retina[J].Invest Ophthalmol Vis Sci,2017,58:565-572.

[37] Bahathiq AO,Stewart RL,Baxter L,et al.Tissue immunoexpression and messenger ribonucleic acid localization of inhibin/activin subunit in human epididymis[J].Fertil Steril,2005,83:78-85.

[38] Rusz A,Pilatz A,Wagenlehner F,et al.Influence of urogenital infections and inflammation on semen quality and male fertility[J].World J Urol,2012,30:23-30.

[39] Flickinger CJ,Bush L,Howards SS,et al.Distribution of leukocytes in the epithelium and interstitium of four regions of the Lewis rat epididymis[J].Anat Rec,1997,248:380-390.

[40] 李健,田孝华,刘东胜,等.复发性阴茎结核2例[J].中华泌尿外科杂志,2002,17:259.

[41] 李诗勇,刘继红,梁培育,等.结核杆菌体外对人精子运动功能的影响[J].中国男科学杂志,2002,16:95-97.

[42] 文任乾,刘美意,叶嘉玲,等.输精管结扎术后附睾精子超微结构的变化[J].中华泌尿外科杂志,2006,27(S1):120-123.

[43] Kulchavenya EV,Osadchii AV.The role of pathogenetic therapy in preserving ejaculate fertility in patients with tuberculosis of prostate[J].Urologiia,2016:14-18.

[44] 库卓华,吕年青.人精子在附睾中的成熟[J].中华男科学,2001,7:1-9.

[45] Cummins JM,Pember SM,Jequier AM,et al .A test of the human sperm acrosome reaction following ionophore challenge.Relationship to fertility and other seminal parameters[J].J Androl,1991,12:98-103.

[46] Brandelli A,Miranda PV,Tezón JG .Voltage-dependent calcium channels and Gi regulatory protein mediate the human sperm acrosomal exocytosis induced by N-acetylglucosaminyl/mannosyl neoglycoproteins[J].J Androl,1996,17:522-529.

[47] Liu DY,Baker HW.Relationship between the zona pellucida (ZP) and ionophore A23187-induced acrosome reaction and the ability of sperm to penetrate the ZP in men with normal sperm-ZP binding[J].Fertil Steril,1996,66:312-315.

[48] 常琰.精浆α-糖苷酶与男性不育症患者精液参数,精浆生化的相关性分析[J].中国医药指南,2019,17:119-120.

[49] 姜辉,邓春华,商学军,等.左卡尼汀在男性不育中临床应用专家共识(2014版)[J].中华男科学杂志,2015,21:82-85.

[50] 商学军,王修来,黄宇烽.肉碱与男性生殖[J].中华男科学杂志,2006,12:726-729.

[51] 熊承良,商学军,刘继红,主编.人类精子学[M].北京:人民卫生出版社,2013.41.

[52] Micic S,Lalic N,Djordjevic D,et al.Double-blind,randomised,placebo-controlled trial on the effect of L-carnitine and L-acetylcarnitine on sperm parameters in men with idiopathic oligoasthenozoospermia[J].Andrologia,2019,51:e13267.

[53] Maleki BH,Tartibian B,Chehrazi M.The effects of three different exercise modalities on markers of male reproduction in healthy subjects:a randomized controlled trial[J].Reproduction,2017,153:157-174.

[54] Vicari E.Effectiveness and limits of antimicrobial treatment on seminal leukocyte concentration and related reactive oxygen species production in patients with male accessory gland infection[J].Hum Reprod,2000,15:2536-2544.

[55] Aitken RJ,Jones KT,Robertson SA.Reactive oxygen species and sperm function--in sickness and in health[J].J Androl,2012,33:1096-1106.

[56] 程曦,陈斌.泌尿生殖道炎症及相关指标与男性不育关系的研究进展[J].中国男科学杂志,2020,34:72-75,80.

[57] Showell MG,Mackenzie-Proctor R,Brown J,et al.Antioxidants for male subfertility[J].Cochrane Database Syst Rev,2014(12):CD007411.

[58] Dorostghoal M,Kazeminejad SR,Shahbazian N,et al.Oxidative stress status and sperm DNA fragmentation in fertile and infertile men[J].Andrologia,2017,49:doi:10.1111/and.12762.

[59] 蔡文伟,江楠.男性不育患者精液活性氧与精子参数的关系研究[J].预防医学,2017,29:264-265,268.

[60] Showell MG,Brown J,Yazdani A,et al.Antioxidants for male subfertility[J].Cochrane Database Syst Rev,2011(1):CD007411.

[61] Chamley LW,Clarke GN.Antisperm antibodies and conception[J].Semin Immunopathol,2007,29:169-184.

[62] Tchiokadze S,Galdava G.Clinical and anamnestic characteristics of development of antisperm immunity in infertile men[J].Georgian Med News,2015(246):18-22.

[63] Jiang Y,Cui D,Du Y,et al.Association of anti-sperm antibodies with chronic prostatitis:A systematic review and meta-analysis[J].J Reprod Immunol,2016,118:85-91.

[64] Meares EM Jr.Prostatitis[J].Med Clin North Am,1991,75:405-424.

[65] de la Rosette JJ,Hubregtse MR,Meuleman EJ,et al.Diagnosis and treatment of 409 patients with prostatitis syndromes[J].Urology,1993,41:301-307.

[66] Wagenlehner F,Till OV,Magri V,et al.1082 national institute of health chronic prostatitis symptom index (CPSI) symptom evaluation in patients with chronic prostatitis/chronic pelvic pain syndrome - A multinational study in 1,563 patients[J].J Urol,2012,187:e439.

[67] Litwin MS,McNaughton-Collins M,Fowler FJ Jr,et al.The National Institutes of Health chronic prostatitis symptom index:development and validation of a new outcome measure.Chronic prostatitis collaborative research network[J].J Urol,1999,162:369-375.

[68] 姜辉,戴继灿,李宏军.胰激肽原酶在男性不育中的临床应用专家共识(2018版)[J].中国男科学杂志,2018,32:60-64.

[69] 姜辉,邓春华,商学军,等.维生素E在男性不育中临床应用专家共识(2014版)[J].中华男科学杂志,2015,21:277-279.

[70] 顾方六主编.现代前列腺病学[M].北京:人民军医出版社,2003:521-525.

[71] 黄卫东,刘培,黄文杰.推荐一种前列腺按摩新方法——侧俯站位平行半蹲式经直肠前列腺按摩法[J].中华男科学杂志,2004,10:935-936,940.

[72] 梁永协,梁景辉,时雪,等.前列腺按摩治疗慢性前列腺炎的疗效探讨[J].中外医疗,2020,39:195-198.

[73] 黄卫东,黄文杰,刘培,等.双囊三腔前列腺灌注引流导管治疗慢性细菌性前列腺炎的对照研究[J].中华男科学,2003,9:580-583.

[74] 刘昌荣,屈克新,颜克钧,等.前列腺灌注管加压灌注药物治疗慢性前列腺炎[J].临床泌尿外科杂志,2000,15:305-306.

[75] 李更先,易剑霞,侯宏锦,等.经尿道药物灌注配合中药口服治疗慢性非细菌性前列腺炎96例临床观察[J].现代中西医结合杂志,2008,17:1846.

[76] 黄宇烽,潘连军,黄卫东主编.男科医师手册[M].北京:人民卫生出版社,2009:189-190.

[77] 黄卫东,易蜀蓉,刘倩,等.双囊三腔前列腺灌注引流对慢性前列腺炎患者精子质量的影响[J].中华男科学,2005,11:772-774.

[78] Krishnan R,Heal MR.Study of the seminal vesicles in acute epididymitis[J].Br J Urol,1991,67:632-637.

[79] 靳风烁,李彦锋.血精及射精管梗阻的精囊镜诊治技术[J].临床泌尿外科杂志,2015,30:1-5.

[80] 王祺,廖良功,李彦锋.精道内镜技术的发展历史、现状及展望[J].中华男科学杂志,2017,23:1038-1042.

[81] 王磊,刘智勇,许传亮,等.经尿道精囊镜诊治顽固性或复发性血精162例临床资料分析[J].中华男科学杂志,2013,19:531-534.

[82] Li BJ,Zhang C,Li K,et al.Clinical analysis of the characterization of magnetic resonance imaging in 102 cases of refractory haematospermia[J].Andrology,2013,1:948-956.

[83] Song T,Zhang X,Zhang L,et al.Transurethral seminal vesiculoscopy in the diagnosis and treatment of seminal vesicle stones[J].Chin Med J (Engl),2012,125:1475-1478.

[84] Xing C,Zhou X,Xin L,et al.Prospective trial comparing transrectal ultrasonography and transurethral seminal vesiculoscopy for persistent hematospermia[J].Int J Urol,2012,19:437-442.

[85] Liu B,Li J,Li P,et al.Transurethral seminal vesiculoscopy in the diagnosis and treatment of intractable seminal vesiculitis[J].J Int Med Res,2014,42:236-242.

[86] Guo S,Xie D,He X,et al.The application of pediatric ureteroscope for seminal vesiculoscopy[J].Minim Invasive Surg,2015,2015:946147.

[87] Kang PM,Seo WI,Yoon JH,et al.Transutricular seminal vesiculoscopy in the management of symptomatic midline cyst of the prostate[J].World J Urol,2016,34:985-992.

[88] Celigoj FA,Costabile RA.Surgery of the scrotum and seminal vesicles[A].In:Wein AJ,Kavoussi LR,Partin AW,et al.(eds).Campbell-Walsh urology[M].11th.Philadelphia:Saunders Elsevier,2016:957-965.

[89] Tracy CR,Costabile RA.The evaluation and treatment of acute epididymitis in a large university based population:are CDC guidelines being followed?[J].World J Urol,2009,27:259-263.

[90] 吴永根,杨旭,张欢,等.生殖系统感染对男性精液质量影响的研究[J].中华男科学杂志,2015,21:1082-1086.

[91] 白文俊,朱积川.生殖道感染与男性不育[J].中华男科学杂志,2001,7:105-108.

基本信息:

中图分类号:R698.2

引用信息:

[1]黄卫东,孙莹璞,孙海翔,等.副性腺炎症性男性不育专家共识[J].生殖医学杂志,2023,32(03):323-331.

投稿时间:

2023-01-11

投稿日期(年):

2023

修回时间:

2023-01-30

终审时间:

2023-02-07

终审日期(年):

2023

审稿周期(年):

1

发布时间:

2023-03-15

出版时间:

2023-03-15

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