切割波弹性学在评估受静脉瘤影响和正常丸的刚度和体积方面:系统性审查和元分析
Lihong Wang1, Xiaoqi Huang2, Yinman Ding3
1Department of Urology, Xuancheng People's Hospital, Xuancheng, 242000, China.
Basic and clinical andrology
|August 26, 2025
概括
在受影响的丸中增加丸硬度和减少丸体积. 剪波弹性图 (SWE) 可以评估这些变化,但需要进一步的大规模研究.
科学领域:
- 生殖医学
- 医学成像
- 泌尿外科
背景情况:
- 腹 (VC) 是男性不孕症的主要原因,导致丸逐渐受损.
- 评估丸细胞的变化对于了解其对男性生殖健康的影响至关重要.
- 之前的研究表明VC会影响丸功能,但对组织特性的系统分析是有限的.
研究的目的:
- 进行第一个系统性审查和对瘤对丸硬度和体积的影响的元分析.
- 评估剪切波弹性图 (SWE) 在评估瘤诱导的丸变化中的实用性.
主要方法:
- 在PubMed,Embase和Medline系统的文献搜索 (2024年6月) 没有限制.
- 包含使用SWE测量受瘤影响和正常丸的硬度和体积的临床试验.
- 来自1118个丸的7个选定的文章的数据的元分析.
主要成果:
- 与正常丸相比,受瘤影响的丸的硬度显著增加 (p < 0. 05).
- 正常丸比反侧丸更硬 (p < 0. 05),表明有系统性影响.
- 受到静脉瘤影响的丸体积小于对侧丸 (p < 0. 05).
结论:
- 静脉严重影响丸的硬度和体积,影响丸的两侧.
- 剪切波弹性图 (SWE) 是评估丸变化的有希望的技术.
- 建议进行进一步的大规模多中心随机对照试验以获得可靠的证实.
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