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骨科外科:一个手术,两个诊断 - - 不同的男性不孕不育结果

Nitza Heiman Newman^1,2, Idan Farber¹, Eitan Lunenfeld³

¹Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva 84105, Israel.

Asian journal of andrology

|April 19, 2024

概括

对于未下降的丸 (UDT) 的童年骨折可以影响成年男性的生育能力. 双边手术和UDT本身为低精子度带来更高的风险,而丸扭曲 (TT) 和犹太种族可能是保护性的.

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
儿科手术儿科手术

背景情况:

男性不孕症影响了很大一部分夫妇,先天性和环境因素发挥了作用.
幼儿期未下降丸 (UDT) 和丸扭曲 (TT) 的骨折是以后生育问题的潜在原因.
精子分析是评估男性生育能力的关键诊断工具.

研究的目的:

调查UDT和TT的儿科骨干术与成年男性生育能力结果之间的关联.
分析手术方法 (单边与双边) 和患者种族对精子参数的影响.
为了确定儿童丸手术后受损生育能力的风险因素.

主要方法:

从2009年至2017年期间接受精子分析的7743名患者的精液样本的回顾性分析.
将患者分为精子度低 (AS组) 和正常 (MN组) 的类别.
对医疗和外科病史的审查,重点关注UDT和TT的orchiopexy,以及患者的种族.

主要成果:

与单边手术相比,双边形术与较低的精子度,总运动率和渐进性运动率有显著的联系.
未下降的丸 (UDT) 被确定为低精子度的危险因素,双边UDT增加了这种风险.
犹太族裔和丸扭曲 (TT) 病史与低精子度的风险降低有关.

结论:

对于UDT的儿科骨干术结果受到外科手术方法的影响,双边手术与较差的精子参数相关.
UDT是男性生育能力下降的危险因素,特别是双边.
种族和TT病史是影响皮术后生育结果的重要因素.

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