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本文报道了我院对３１５例男性不育症患者在第一次就诊时进行血清生殖激素ＦＳＨ、ＬＨ、Ｔ、ＰＲＬ、Ｅ２水平的检测，并进行详细的病史询问、常规体检和精液分析等检查。结果显示血清Ｔ值在不同的精子密度层次的男性不育症患者均呈正态分布。睾丸容积减少，ＦＳＨ、ＬＨ上升，Ｔ／ＬＨ下降，提示睾丸功能损害，并且Ｔ／ＬＨ的比值更能反映间质细胞的功能。血清ＰＲＬ和Ｅ２值在诊断高催乳素血症不育有意义，但在男性生育者和不生育者之间无明显差别。而且ＦＳＨ值在鉴别睾丸原发性与梗阻性无精子症是一项重要指标。作者讨论了血清生殖激素测定在不育症诊断中、在判定睾丸功能的损害程度中的意义。
This article reports the detection of serum FSH, LH, T, PRL and E2 in 315 cases of male infertility in our hospital on the first visit, and carries out detailed medical history examination, routine examination and semen analysis . The results showed that the serum T value in different sperm density levels of male infertility patients were normal distribution. Testis volume decreased, FSH, LH increased, T / LH decreased, suggesting that testicular dysfunction, and the ratio of T / LH more reflect the function of interstitial cells. Serum PRL and E2 values in the diagnosis of infertility with hyperprolactinemia meaningful, but no significant difference between male and non-fertility. And FSH value in the differential diagnosis of primary and obstructive azoospermia is an important indicator. The authors discuss the significance of serum reproductive hormones in the diagnosis of infertility in determining the extent of damage to testicular function.