低血清丸激素与没有丸替代疗法的男性首次结石的风险增加有关
Austin Thompson1, Danly Omil-Lima2, Stephen Rhodes3
1Case Western Reserve University School of Medicine, Cleveland, OH, USA. Amt253@case.edu.
International journal of impotence research
|August 20, 2024
概括
男性血清丸激素的低水平与患结石的风险更高有关. 这种关联在33至44岁的男性中尤为明显,突出显示了激素水平与结石形成之间的潜在联系.
科学领域:
- 内分泌学和泌尿病学 在内分泌学和泌尿病学
- 生殖健康 生殖健康
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 在男性中,血清丸激素低和结石的发病率越来越高.
- 丸激素水平与结石发育之间的关系尚不清楚.
- 需要在没有先前激素治疗的男性中调查这种关联.
研究的目的:
- 根据总血清丸激素水平,评估男性初步结石诊断的风险.
- 评估不同年龄组的风险.
主要方法:
- 使用TriNetX研究网络进行的回顾性队列研究.
- 包括18岁及以上的男性,分为低 (<300 ng/dL) 和正常 (≥300 ng/dL) 组.
- 排除有先前结石诊断或激素治疗的男性;使用倾向性得分匹配.
主要成果:
- 血清丸激素的低水平与18岁以上的男性患结石诊断的风险更高有关 (HR 1.12).
- 在18-24岁的男性中没有发现显著的关联.
- 在34至44岁的男性中 (HR 1.29) 发现风险最高.
结论:
- 血清丸激素的低水平与未接受丸激素治疗的成年男性初步结石诊断的风险增加有关.
- 增加的风险似乎在25岁左右出现,在33至44岁的年龄组中达到顶峰.
- 需要进一步的研究来阐明连接低和结石形成的潜在机制.
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