评估诊断性丸活检对非阻塞性亚子精子症男性精子采集结果的预测价值
Aris Kaltsas1, Eleftheria Markou2, Athanasios Zachariou1
1Department of Urology, Faculty of Medicine, School of Health Sciences, University of Ioannina, 45110 Ioannina, Greece.
Journal of personalized medicine
|September 28, 2023
概括
在接受治疗性丸活检 (TTB) 的非阻塞性精症 (NOA) 患者中,诊断性丸活检 (DTB) 可能不需要. 系统性炎症可能会影响精子提取成功的微切割丸精子提取 (mTESE).
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
- 安德罗学与人类学
背景情况:
- 非阻塞性精症 (NOA) 在男性不孕症管理中带来了重大挑战.
- 了解影响精子获取的因素对于成功的辅助生殖技术至关重要.
研究的目的:
- 评估诊断性丸活检 (DTB) 在治疗性丸活检 (TTB) 中精子提取成功的预测价值.
- 调查系统性炎症在NOA患者的微剖析丸精子提取 (mTESE) 结果中的作用.
主要方法:
- 对50名接受mTESE.NOA患者的回顾性分析.
- 包括全面的医疗,精液和内分泌评估.
- 评估手术前变量和全身炎症生物标志物.
主要成果:
- 在50%的患者中,DTB未能检测到精子,这些患者后来在TTB中取得了积极的结果.
- 手术前的因素 (年龄,荷尔蒙,炎症标志物) 并不能始终预测精子提取.
- 在TTB阴性患者中观察到中性细胞-淋巴细胞比率 (NLR) 和血小板-淋巴细胞比率 (PLR) 的升高.
结论:
- 由于潜在的误导性结果,对NOA患者初始DTB的有用性受到质疑.
- 负的DTB不应排除后续的TTB或细胞内精子注射 (ICSI) 尝试.
- 需要进一步的研究来优化诊断策略,并了解影响NOA.精子检索的因素.
相关概念视频
Infertility in Males
289
Male infertility affects millions of couples worldwide, arising from various factors that impact different stages of the reproductive process. An endocrine imbalance resulting from conditions like hypogonadism, Klinefelter syndrome, or pituitary disorders can disrupt hormone levels and reduce sperm production. Testicular defects, such as tumors, cryptorchidism, atrophic testes, abnormal sperm morphology, and low sperm count or motility, may arise due to genetic factors, structural...
289
Testes: Histology
1.0K
A tough, fibrous membrane, the tunica albuginea, covers the testes, extending inward to form fibrous partitions or septa, dividing them into internal compartments called lobules. Each lobule has 1 to 3 tightly coiled seminiferous tubules where sperm production occurs. These tubules merge into a tubular network at the back of the testis, known as the rete testis. It connects to 15 to 20 efferent ductules, leading to the epididymis.
The spermatogenic cells, responsible for producing sperm, are...
The spermatogenic cells, responsible for producing sperm, are...
1.0K
Spermatogenesis
102.6K
Spermatogenesis is the process by which haploid sperm cells are produced in the male testes. It starts with stem cells located close to the outer rim of seminiferous tubules. These spermatogonial stem cells divide asymmetrically to give rise to additional stem cells (meaning that these structures “self-renew”), as well as sperm progenitors, called spermatocytes. Importantly, this method of asymmetric mitotic division maintains a population of spermatogonial stem cells in the male...
102.6K


