柯林菲特氏症導致無精症不孕與睪丸縮小的中醫治療案例

柯林菲特氏症(klinefelter syndrome)是一種染色體異常的疾病。染色體為47,XXY(多一個X)，造成男性雄性特徵不明顯，包括：睪丸小，不發育，精子稀少或無精子，陰部毛髮稀疏或分布形狀接近女性。除非症狀在小時候即特別明顯，不然，患者多於成年結婚後，長久不能受孕，檢查精液，發現無精子時做染色體檢查才發現。本病歷報告即是針對一位這種症狀的患者，經由中醫補腎溫陽法，促使睪丸發育，產生精子，希望達到受孕的目的。

關鍵字

柯林菲特氏症；無精症；睪丸縮小；不孕；補腎溫陽法

並列摘要

Klinefelter syndrome, also known as 47,XXY, is a chromosomal abnormality distinguished by the presence of an additional X chromosome as opposed to the usual 46. Symptoms vary among patients and can be quite subtle until the teenage years with small testicles and delayed or incomplete puberty and possibly not even until adulthood with either oligospermia or azoospermia, decreased facial and body hair, and enlarged breasts and fat distribution resembling that of a female. Some people don't present with discernible symptoms at all and only discover this condition once they have married. Unsuccessful attempts to have children prompt medical examination as infertility tests reveal oligospermia or azoopsermia and chromosomal tests lead to the diagnosis of Klinefelter syndrome. The subject of this case report represents the latter scenario and applies the traditional Chinese medicine (TCM) kidney-supplementing yang-warming therapeutic approach to promote gonadal development and sperm production in hopes of achieving the goal of conception.

並列關鍵字

Klinefelter syndrome ； azoospermia ； gonadal atrophy ； infertility ； kidney-supplementing yang-warming therapeutic approach

參考文獻

哈里遜內科學第15版

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