在被诊断患有慢性静脉功能不全的男性中,是否应该进行静脉的查? 一个前性研究研究
Ferit Çetinkaya1, Kamil Doğan2, Ayşe Taş3
1Department of Cardiovascular Surgery, Ağrı Education and Research Hospital, Ağrı, Turkiye.
概括
慢性静脉功能不全 (CVI) 患者的左大沙芬静脉直径为5.35厘米或更大,可能会受益于静脉瘤查. 这种查可以帮助降低与水结核相关的男性不孕率.
科学领域:
- 血管外科 血管外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 放射学 放射学是一门学科.
背景情况:
- 慢性静脉功能不全 (CVI) 与男性静脉有着共同的潜在病原性.
- 静脉是男性不孕症的主要原因,影响40%的病例.
研究的目的:
- 调查诊断为CVI的患者进行静脉瘤查的必要性和标准.
- 在CVI中识别特定的患者亚组,这些患者需要进行静脉瘤查.
主要方法:
- 来自102名成年男性CVI患者的前性数据收集.
- 使用了病史,多普勒超声波,曼-惠特尼U测试,奇平方测试和ROC分析.
- 在α = 0.05.05时设置1型错误级别.
主要成果:
- 发现左大沙静脉 (GSV) 直径和静脉 (p=0.004) 之间存在显著的关联.
- 与没有 (5.3 ±2.6厘米) 的患者相比,静脉瘤患者的平均左侧GSV直径显著更大 (6.6 ±2.3厘米).
- 左侧GSV直径为5.35厘米或更大,对静脉检测有71.4%的灵敏度和61.2%的特异性.
结论:
- 在CVI患者中,左侧GSV直径为5.35厘米或以上是瘤查的可靠指标.
- 心血管外科医生和放射科医生可以实施这种查协议.
- 通过这种方法进行早期检测可能会降低腹瘤和随后不孕症的发生率.
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