丸体积是一种非侵入性预测器,用于在非异常性非阻塞性阿佐精子症中预测精子检索失败
Hong Xiao1, Song-Xi Tang, Rui-Jie Yao
1Department of Andrology and Sexual Medicine, First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China.
Asian journal of andrology
|February 14, 2024
概括
丸体积可以预测异常非阻塞性精子缺血症 (iNOA) 的男性的精子检索失败. 丸体积大于6.5毫升表明由于管道分布均,精子提取失败的可能性更高.
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:
- 异形非阻塞性精子缺血症 (iNOA) 在精子采集方面存在挑战.
- 预测精子检索失败对于患者咨询和治疗计划至关重要.
研究的目的:
- 为了确定预测iNOA患者进行微手术丸精子提取的精子提取失败的非侵入性因素.
- 评估丸体积和精卵管分布的预后重要性.
主要方法:
- 对193名接受微手术丸精子提取的iNOA患者的回顾性分析.
- 统计分析包括千平方,曼-惠特尼U测试和后勤回归.
- 接收器操作特征 (ROC) 曲线分析和临床决策曲线分析.
主要成果:
- 与已知原因患者相比,iNOA患者的精子检索率较低.
- 丸体积是精子提取结果的独立预测指标 (OR=0.79,P<0.05).
- 丸体积切断值为6.5毫升预测失败 (AUC=0.694);均的输卵管分布与较低的精子提取率和较小的丸体积有关.
结论:
- 丸体积> 6.5毫升是iNOA中微手术丸精子提取失败的重要预测因素.
- 均的精卵管分布与较小的丸体积和更高的精子提取失败率有关.
- 像丸体积这样的非侵入性因素可以帮助预测iNOA患者的手术结果.
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