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本组研究共14例男性病人,其中11人睾丸变小,8例精子缺乏,4例精液缺乏,12例有男性乳房增大,只两侧最近发病,没有上述病变。睾丸病变是麻风杆菌直接侵犯所致,尸检约90%病人可发生。细曲精管失去轮廓。男性乳房增大的发生率为82.6~83%。一般同时伴有睾丸萎缩,Grabstald 报告患者尿促性腺激素增高,血睾丸酮和尿雌激素减少。LH 和 FSH 基值可以因 LHRH 的促性腺反应而增高,这只发生在 L 型。而在 T 型就没有此反应。
In this study, a total of 14 male patients were studied. Eleven of them had less testes, 8 lack of sperm, 4 lack of semen, 12 males with enlarged breasts, and recent onset on both sides with no such lesions. Testicular lesions are caused by a direct invasion of leprosy, about 90% of autopsy patients can occur. Spermatozoon lost contour. The incidence of male breast enlargement was 82.6 ~ 83%. Generally accompanied by testicular atrophy, Grabstald reported increased urinary gonadotropin, decreased blood testosterone and urinary estrogen. The basal LH and FSH values may be increased by the gonadal response to LHRH, which occurs only in the L-form. In the T-type there is no such reaction.