精液参数的预测因素在微手术静脉瘤切除术后下降
Daniel R Greenberg1, Matthew T Hudnall1, Bailey N Goyette2
1Department of Urology, Northwestern University Feinberg School of Medicine, Chicago, USA.
Cureus
|October 13, 2023
概括
静脉切除术可以降低某些男性的精子质量. 较大的左丸大小和III级静脉与手术后精液参数较差有关,影响男性不孕症治疗.
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
- 男人不孕不育的情况
背景情况:
- 静脉是一种可逆男性不孕症的常见原因.
- 手术修复 (静脉瘤切除术) 不总是导致临床改善.
- 影响结果的术前因素需要识别,以便更好地为患者提供咨询.
研究的目的:
- 为了确定与瘤切除术后精液参数下降相关的术前因素.
- 为了研究术后总运动精子数 (TMSC) 临床"降级"的预测因素.
主要方法:
- 对101名经过静脉切除术的男性 (2010-2020年) 的回顾性分析.
- 评估术前和术后的精液分析 (SA),射精量,精子运动性和度.
- 不同生育治疗 (IVF,IUI,自然怀孕) 的TMSC临床分级.
主要成果:
- 34.7%的男性经历了手术后TMSC的减少.
- 10.9%的男性有临床"降级"的TMSC.
- 临床III级静脉与精子运动率降低相关 (OR 4.1).
- 与临床"降级" (OR 1.4) 相关的左丸体积较大.
结论:
- 显著比例的男性经历精液参数"降级"后静脉瘤切除术.
- 左丸的大小和静脉等级是预测结果的关键因素.
- 这些发现对于在男性不孕症管理中进行手术前咨询至关重要.
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