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中华男科学杂志,2010,16(6):483-9.

军队男性包皮环切的历史回顾与展望

Philip Shihua Li(李石华)1,吕年青2,Puneet Masson1,黄宇烽3,孙颖浩4
1. Center for Male Reproductive Medicine and Microsurgery, Cornell Institute for Reproductive Medicine, Department of Urology, The New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY10065-4870, USA;
2. 江苏省计划生育科学技术研究所,江苏 南京210036;
3. 南京大学医学院临床学院/南京军区南京总医院解放军临床检验医学研究所,江苏 南京210008;
4. 第二军医大学附属长海医院泌尿外科,上海200433)

【摘要】

成人包皮环切可以预防大多数生殖道感染,显著降低男性获得性人乳头状瘤病毒,单纯疱疹病毒和艾滋病毒的感染风险。有关男性包皮环切对军队服役人员健康益处的报道很少。前线的士兵不能保持阴囊与包皮足够的局部卫生条件,容易受到感染,影响执行任务和作战,辅助治疗也会直接给军队增加开支。在服役期间和在派遣之前进行包皮环切可以节省大量时间和成本,对改善官兵生殖健康状况起到长效的益处。这些研究发现正在受到非洲各国军队卫生部门的重视,将成为未来军队卫生和服务的发展方向。在艾滋病毒流行可能恶化的亚洲,在军队倡导男性包皮环切术预防生殖道感染和性传播疾病,对提高战斗力和降低医疗成本,增进全社会公众健康状况与国民经济将具有十分显着的战略意义。

关键词: 男性;包皮环切术;生殖道感染;艾滋病毒/艾滋病;军队

中图分类号:R699.8文献标志码:甲文章编号:1009-3591(2010)06-0483-07

 

 

Zhonghua Nan Ke Xue. 2010 Jun;16(6):483-9.

Adult male circumcision for military men: history and future.

[Article in Chinese]

Li PS, Lü NQ, Masson P, Huang YF, Sun YH.

Center for Male Reproductive Medicine and Microsurgery, Cornell Institute for Reproductive Medicine, Department of Urology, New York Presbyterian Hospital, Weill Medical College of Cornell University, New York, NY 10065-4870, USA. psli@med.cornell.edu

Abstract

Adult male circumcision (MC) has been shown to reduce the transmission of HPV, HSV, and HIV significantly during vaginal intercourse. However, the benefits of adult MC for men in military service have been poorly documented. Soldiers in war time have additional challenges in maintaining good penile hygiene, rendering uncircumcised men vulnerable to inflammation and infection; these maladies not only negatively impact these individuals, but also undermine the overall military strength. Adult MC can provide some long-term benefits for these military service men. Many African countries have already taken a special interest in adult MC for their military forces, resulting in increased numbers of these surgeries among this special population of men. In this review, we discuss the history of adult MC in the military along with the current trends and economic significance.


PMID: 20608349 [PubMed - indexed for MEDLINE]

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