摘要
近些年来,多项大规模随机对照临床试验证明,成年男性包皮环切能有效减少艾滋病毒(HIV)、人乳头瘤病毒(HPV)和2型单纯疱疹病毒(HSV-2)的性传播。世界卫生组织(WHO)和联合国艾滋病规划署(UNAIDS)发表了一系列关于推广男性包皮环切的文件。男性包皮环切是花费少,效益高,十分安全的小手术,一生中只要做一次。它不仅仅在预防艾滋病等性传播疾病方面有效,而且在预防婴幼儿和老年人的尿路感染,预防生殖系统肿瘤以及改善生殖器卫生等方面也很有效。因此,男性包皮环切被认为是一种艾滋病预防和生殖健康的"外科疫苗"。与全球约30%男性包皮环切率相比,我国的包皮环切率很低(<5%)。本文呼吁政府和医疗界领导和有关专业人士重视国际上已有成功经验,推动我国男性包皮环切的普及,提高我国国民的生殖健康水平。为此,我们再一次提出了有关推广男性包皮环切的六条建议。
Recent randomized controlled clinical trials in Africa have demonstrated that adult male circumcision （MC） efficiently decreases the rate of HIV, HPV and HSV-2 infections. Many studies have clearly shown that MC is a simple, safe, and cost-effective method for the prevention of sexually transmitted diseases and urinary tract infection, and for improving genital hygiene. While a 30% MC prevalence exists worldwide, only 5% or less of the Chinese males have undergone circumcision. In this review, we report recent trends in international MC and HIV prevention efforts, as well as the potential benefits and importance of promoting MC in China. We appeal to medical and public health authorities to pay close attention to the international experience in MC and HIV prevention.
出处
《中华男科学杂志》
CAS
CSCD
北大核心
2009年第5期395-402,共8页
National Journal of Andrology
关键词
男性包皮环切
生殖健康
预防
产
疫苗
医疗保险
male circumcision
reproductive health
prevention
vaccine
health insurance
