丸超声波和弹性图发现与精液参数的比较,用于不孕症的案件调查
Ramil Aliyev1, İlhan Hekimsoy2, İpek Tamsel3
1Division of Radiology, Medicana International İzmir Hospital, İzmir, Turkey.
概括
剪波弹性图 (SWE) 有效评估不孕男性的丸变化. 较高的弹性素学分数和较低的丸体积与受损的精液参数和亚精子相关,有助于诊断.
科学领域:
- 生殖医学 生殖医学
- 医疗成像医学成像
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 男性不孕症影响了大量寻求生育治疗的夫妇.
- 准确的诊断工具对于确定男性不孕不育的原因至关重要.
- 丸组织病理学是男性生育能力的关键因素,但直接评估是侵入性的.
研究的目的:
- 为了研究丸剪波弹性图 (SWE) 值与不孕症男性的精液分析结果之间的相关性.
- 评估SWE在识别受损精液参数和亚精子症的诊断准确性.
主要方法:
- 追溯病例对照研究涉及67名不育男性.
- 精液分析将患者分为正常,异常或亚精子组.
- 用B模式超声波测量丸体积.
- 使用虚拟触摸成像量化软件进行的二维SWE.
主要成果:
- 与其他组相比,患有亚精子症的患者丸体积显著降低,SWE得分更高.
- 在丸体积和弹性图发现之间发现了显著的负相关性,独立于年龄.
- 当与其他因素相结合时,SWE表现出高准确度 (94.3%的受损参数,94.1%的亚精子症).
结论:
- 丸剪波弹性图是一种有价值的非侵入性工具,用于评估不育男性的丸变化.
- SWE可以单独或与其他诊断方法一起有效地使用.
- SWE有助于评估组织病理变化,并识别受损的精液参数和亚精子.
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