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“顺逆并行射精”罕见,国外仅报道3例。我院发现一例:马某,25岁。婚后三年不育。曾多次化验精液皆“未见精子”,前往国内六个大医院服用几十付中药无效。于1987年2月24日以“无精子症”来我院就诊。既往健康,无手术史及传染病史,未服用过胍乙啶等药物。性生活满意。生殖器官检查:阴茎发育一般。睾丸大小正常,无肿块。附睾、输精管连续光滑。阴囊无静脉曲张。透光试验(一)。精液常规:1.5ml;淡乳白色,稀薄,无拉丝;未见精子,可见大量大小不等的卵磷脂小体,炎性细胞6~8个/高倍视野。射精后中段尿检查:23 ml,黄色、大量乳白色悬浊物、粘稠成块、混浊,可见精子密度1500万/ml,活动率20%,1小时不液化。
“Shun anti-parallel ejaculation” rare, only reported in 3 cases abroad. A case found in our hospital: Ma Mou, 25 years old. Three years after marriage, infertility. Have repeatedly test sperm are “no sperm”, go to the domestic six large hospitals to take dozens of Chinese medicine is invalid. In February 24, 1987 to “azoospermia” to our hospital. Past health, history of surgery and infectious diseases, did not take guanethidine and other drugs. Sexual life satisfaction. Genital examination: penile development in general. Testicular size is normal, no lumps. Epididymis, vas deferens continuous smooth. Scrotal varicose veins. Light transmission test (a). Semen routine: 1.5ml; pale milky white, thin, no drawing; no sperm, showing a large number of lecithin bodies ranging in size, inflammatory cells 6 to 8 / high power field. After the middle of ejaculation urine examination: 23 ml, yellow, a large number of milky white suspension, viscous lumps, cloudy, visible sperm density 15 million / ml, activity rate of 20%, 1 hour without liquefaction.