系统性炎症指数和系统性炎症反应指数对静脉瘤切除术成功的影响
1Urology Department, Kocaeli State Hospital, Kocaeli, Turkey.
Urologia
|August 26, 2023
概括
系统性免疫炎症指数 (SII) 和系统性炎症反应指数 (SIRI) 可以预测静脉瘤切除术的成功. 手术前较低的SII和SIRI表明,男性不孕症手术后精液参数改善的可能性更高.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 生殖医学 生殖医学
- 炎症标志物 炎症标志物
背景情况:
- 静脉是男性不孕症的主要可纠正的原因.
- 对静脉的手术治疗是常见的,但预测成功仍然具有挑战性.
- 炎症标志物在预测手术结果中的作用需要进一步研究.
研究的目的:
- 评估系统性免疫炎症指数 (SII) 和系统性炎症反应指数 (SIRI) 在预测静脉切除术成功的有效性.
- 为了确定手术前的炎症标志物,可以指导患者选择静脉切除术.
主要方法:
- 对207名经过静脉切除术的患者进行了回顾性分析.
- 静脉切除术的成功是由手术后总运动精子数 (TMSC) 的特定增加所定义的.
- 统计分析包括多变量分析,以确定独立的预测因素.
主要成果:
- 144名患者 (69.6%) 经过静脉瘤切除术后的精液参数有所改善.
- 确定了SII (334.6) 和SIRI (0.882) 具有显著AUC值的最佳切断值.
- SII和SIRI是静脉瘤切除术成功的独立预测因素 (p < 0.003).
结论:
- 在接受静脉瘤切除术的患者中,手术前的SII和SIRI值较低.
- 这些炎症指数是预测不育患者手术成功的宝贵工具.
- 结合SII和SIRI可以优化对静脉切除术的患者选择.
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