经过微切割丸精子提取在非阻塞性亚子精子症的男性中,经由生殖泌尿科医生评估后,与接受微切割丸精子提取相关的因素
Daniel R Greenberg1, Alexander V Stanisic2, Minh N Pham1
1Northwestern University Feinberg School of Medicine, Department of Urology, Chicago, IL, USA.
Translational andrology and urology
|August 9, 2023
概括
患有非阻塞性精子缺血症 (NOA) 的男性如果已婚且收入较高,则更有可能接受微切割丸精子提取 (mTESE). 在寻求护理之前尝试怀孕的时间较长与mTESE吸收率较低有关.
科学领域:
- 生殖医学 生殖医学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 不孕症研究 不孕症研究
背景情况:
- 微切割丸精子提取 (mTESE) 是非阻塞性精子缺血症 (NOA) 的标准治疗方法.
- 许多患有NOA的男性不会选择mTESE.
- 确定影响mTESE决策的因素对于患者咨询至关重要.
研究的目的:
- 确定与NOA患者选择接受mTESE的相关因素.
- 分析影响治疗决策的人口统计和临床数据.
主要方法:
- 在2002-2018年间由生殖泌尿科医生 (RU) 评估的NOA患者的回顾性队列研究.
- 收集的数据包括人口统计,临床信息和选择mTESE的主要结果.
- 统计分析包括单变量和多变量回归.
主要成果:
- 44.4%的NOA患者接受了mTESE.
- 较高的邻居收入中位数,已婚,以及尝试怀孕的年数较少,与接受mTESE有显著的关联.
- 多变量分析证实了婚姻状况和怀孕尝试的持续时间是重要的因素.
结论:
- 婚姻状况和更高的收入与NOA患者的mTESE吸收有积极的相关性.
- 在寻求护理之前,不孕症尝试的持续时间较长与mTESE的可能性降低有关.
- 这些因素可以为NOA的患者咨询和治疗计划提供信息.
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