患有生长激素缺乏症的青春期后患者的丸功能:一项前性受控研究
Rossella Cannarella1,2, Andrea Crafa1, Sabrina Sapienza1
1Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Journal of clinical & translational endocrinology
|February 3, 2025
概括
青春期后男性的生长激素缺乏 (GHD) 与丸功能受损有关,包括精子参数和丸体积的减少. 建议在GHD中早期评估丸生长和功能.
科学领域:
- 内分泌学 在内分泌学.
- 生殖医学 生殖医学
- 儿科内分泌学 儿科内分泌学
背景情况:
- 复合人体生长激素 (GH) 治疗对患有GH缺乏症 (GHD) 的儿童的丸生长产生影响.
- 关于青春期后GHD患者的丸功能存在有限的数据.
研究的目的:
- 为了前性地评估GHD的青春期后患者的丸功能.
主要方法:
- 通过超声波对26名GHD患者 (年龄大于16岁) 和25名对照患者进行了血清淋巴激素,总丸激素 (TT),精子参数和丸体积 (TV) 的评估.
- 排除患有影响丸功能的疾病的患者.
主要成果:
- 与对照组相比,GHD患者在黄素化激素,卵泡刺激激素或TT水平上没有差异.
- GHD患者表现出较低的精液量,总精子数量,渐进的运动性,总运动性和较高的橄动物精子率.
- GHD患者的丸体积显著降低,丸缩的患病率更高.
结论:
- 这项研究提供了第一个证据,表明青春期后GHD患者的精子参数和丸体积略有损失.
- 在青春期前,GH-IGF1轴的完整性对于成年人丸功能至关重要.
- 建议在GHD儿童和青春期后的男孩中监测丸生长和精子参数.
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