丸动脉血流量在预测精液改善后显微的下静脉静脉切除术的体积
Wei Fu1, Jun Cui2, Shaoshan Tang1
1Department of Ultrasound, Shengjing Hospital of China Medical University, Shenyang, China.
Quantitative imaging in medicine and surgery
|October 21, 2024
概括
微观的下静脉静脉切除术 (MSV) 可以改善不孕男性的精液质量. 手术前丸动脉血流量 (TABFV) 和右侧静脉瘤有助于预测MSV后的成功结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 安德罗学与人类学
- 生殖医学 生殖医学
背景情况:
- 静脉是男性不孕症的主要原因之一.
- 静脉切除术在改善精液质量的有效性各不相同.
- 预测静脉切除术的结果对于患者管理至关重要.
研究的目的:
- 评估微观下静脉静脉切除术 (MSV) 对丸动脉血流量 (TABFV) 的影响.
- 为了确定手术前的TABFV是否可以预测MSV结果.
- 开发一种预测模型,用于MSV后的精液改善.
主要方法:
- 对96名MSV患者进行前性队列研究.
- 超声波评估TABFV和精液分析MSV前后.
- 后勤回归和诊断模型开发以确定预测因素.
主要成果:
- 在MSV后,两个丸的TABFV显著增加 (P<0.001).
- 在手术前的右丸TABFV和亚临床右侧静脉预测了精液的改善.
- 开发的诊断模型显示,用于预测结果的AUC为0.824.
结论:
- TABFV是评估MSV结果的潜在指标.
- 一个使用TABFV和静脉瘤存在的诊断模型有效地预测MSV后的精液改善.
- 预测模型为指导治疗决策提供临床实用性.
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