患有状细胞疾病的男性的生殖功能和精子参数:系统性审查
Clarisse Leblanc1, Nathalie Sermondade1,2, Ludmilla Ogouma-Aworet1
1Reproductive Biology Department, CECOS, Tenon Hospital, AP-HP. Sorbonne University, Paris 75020, France.
Asian journal of andrology
|May 30, 2025
概括
状细胞疾病 (SCD) 损害男性生育能力,诸如氧尿素 (HU) 和造血干细胞移植 (HSCT) 等治疗方法带来进一步的风险. 早期的生育咨询和保育对受影响的男性至关重要.
科学领域:
- 生殖医学 生殖医学
- 血液学 血液学 血液学
- 遗传学 遗传学 是一个
背景情况:
- 状细胞疾病 (SCD) 是一种普遍存在的遗传性疾病,导致溶血性贫血和器官损伤.
- SCD显著影响男性生殖功能和生育能力.
- 目前关于SCD对男性生育能力的影响的文献有限.
研究的目的:
- 系统地审查SCD及其治疗对男性生殖功能的影响.
- 评估SCD男性可用的生殖选择.
- 突出早期生育讨论和保存策略的需要.
主要方法:
- 系统的文献审查遵循PRISMA指南.
- 对SCD患者男性生殖健康的研究分析.
- 评估氧尿素 (HU) 和造血干细胞移植 (HSCT) 的影响.
主要成果:
- 患有SCD的男性经常出现受损的精子参数.
- 基尿素 (HU) 治疗可能会对男性生殖功能产生负面影响;可逆性不确定.
- 造血干细胞移植 (HSCT) 条件是性腺毒性,可能导致永久性精子生成损伤.
结论:
- 患有SCD的男性需要早期和全面的生育咨询.
- 对于青春期的男性来说,保存生育的选择,包括讨论氧尿素 (HU) 和造血干细胞移植 (HSCT) 的影响,是至关重要的.
- 对于接受HSCT的青春期前男孩,应考虑实验性未成熟的丸组织结.
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