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对已检测出精子抗体的患者,应从病史及体检作全面分析,注意有无生殖道感染史,症状和体征,一旦发现生殖道感染,则采用足量抗生素治疗,根据情况,其妻可同时接受治疗。对男性患者还应注意有无精液囊肿,睾丸萎缩以及输精管阻塞,以便考虑适宜的外科手术,经以上治疗精子抗体滴度未下降,则应考虑精子洗涤与人工授精。经这类治疗无效者,则应继续用大剂量或小剂量皮质酮治疗3-6月,也可试用睾酮反跳治疗作辅助。具体治疗方法如下: 1.对生殖道感染的治疗:有泌尿生殖道感染的男性精子抗体检出率增高,因此,一旦发现
Sperm antibodies have been detected in patients with history and physical examination should be a comprehensive analysis, with or without attention to the history of reproductive tract infections, symptoms and signs, once found reproductive tract infections, the use of adequate antibiotics, depending on the circumstances, his wife can accept treatment. Should pay attention to male patients with or without semen cyst, testicular atrophy and vas deferens obstruction in order to consider the appropriate surgery, the above treatment sperm antibody titer did not decline, you should consider sperm washing and artificial insemination. After such treatment is invalid, should continue with high-dose or low-dose corticosteroids for 3 to 6 months, can also test the testosterone rebound therapy as a supplement. The specific treatment is as follows: 1. Treatment of genital tract infections: men with genitourinary tract infection increased the detection rate of sperm antibodies, therefore, once found