血精不增加前列腺癌检测在前列腺活检中的风险
Jae Ryun Park1, Sung Hyun Paick1, Woo Suk Choi1
1Department of Urology, Konkuk University Medical Center, Seoul, Korea.
Prostate international
|January 16, 2025
概括
血精,或精液中的血液,与前列腺癌检测的风险增加无关. 这项研究发现,在接受活检的患有血精的男性中,前列腺癌检测率较低.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 关于血液精子和前列腺癌之间的关联存在有限的研究.
- 血精是常见的泌尿器科症状,需要进行调查.
研究的目的:
- 为了确定前列腺癌在患有血精症的患者中的患病率.
- 用美国大规模人口数据分析血精和前列腺癌检测率之间的关联.
主要方法:
- 使用IBM® MarketScan研究数据库管理索赔数据进行的回顾性观察队列研究.
- 包括经过前列腺活检的成年男性,在活检前新诊断出血 (2007年1月至2014年12月).
- 疾病国际分类,第九版,临床修改 (ICD-9-CM) 代码确定了患者;当前程序术语 (CPT) 代码确定了治疗方法.
主要成果:
- 总共有369170名男性接受了前列腺活检;1357名 (0.4%) 患有血.
- 与没有 (48.0%,P<0.01) 的患者相比,患有血精的患者 (30.4%) 的前列腺癌检测率明显较低.
- 在研究期间,只有1.6%的患有血精的男性接受了前列腺活检.
结论:
- 前列腺活检前的血精与较低的,而不是更高的前列腺癌检测风险有关.
- 血精的存在似乎不会增加检测前列腺癌的可能性.
- 进一步的研究可能会在前列腺癌查的背景下探索血精的临床意义.
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