相关实验视频
Updated: Sep 18, 2025

04:47
Optimizing the Modified No-Scalpel Vasectomy Technique
Published on: October 18, 2024
439
血管切除术史与积极监测中的男性前列腺癌进展无关
Aurora J Grutman1,2, Yuezhou Jing3, Derek K Ng1
1Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
The Prostate
|June 24, 2025
概括
vasectomy 的病史不会增加在接受积极监测的男性前列腺癌进展的风险. 这项研究发现,对于有或没有输精管切除病史的男性,年级重新分类没有显著差异.
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.
- 男人的健康 男人的健康
背景情况:
- vasectomy 和前列腺癌进展之间的联系仍在争论中.
- 积极监视的男性需要明确的风险分层来做出明智的决定.
研究的目的:
- 为了调查 vasectomy 病史与前列腺癌进展风险之间的关联.
- 评估自输精管切除术以来的时间是否会影响在积极监测中的男性的疾病进展.
主要方法:
- 在积极监测计划中对1565名患有1级前列腺癌的男性进行了回顾性审查.
- 对人口统计数据,PSA,PSA密度和活检瘤体积的分析.
- 使用Fine&Grey模型来评估与竞争风险的进展风险 (等级重新分类).
主要成果:
- 373名男性有输精管切除病史;1192人没有.
- 在接受了输精管切除术的男性中,重新分类发生在30.0%的男性中,而没有进行输精管切除术的男性则为32.4%.
- 无论是输精管切除病史还是输精管切除术后的时间都没有显著影响进展风险.
结论:
- 这是第一个在积极监测下检查输精管切除病史和前列腺癌进展的研究.
- 研究结果表明,精管切除术在这个群体中并不是不良结果的风险因素.
- 有信息的患者管理需要了解前列腺癌进展的风险因素.
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