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睾丸微石症的研究进展
作者:庞昆  陈静  孙延皊  陈波  史振铎  郝林  韩从辉 
单位:东南大学(徐州)生殖医学研究所/东南大学医学院附属徐州医院/徐州市中心医院 泌尿外科, 江苏 徐州 221009
关键词:睾丸微石症 不育症 睾丸癌 随访策略 综述 
分类号:R698
出版年·卷·期(页码):2019·38·第四期(732-736)
摘要:

睾丸微石症(TM)是一种以睾丸曲细精管内钙沉积为特征的病症,在无症状男性中的患病率约为5%。TM无明显临床表现,发病与种族、社会地位、运动量、唐氏综合征、McCune-Albright综合征、隐睾症、家族睾丸癌病史、重型β-地中海贫血、不育症等因素相关,对精子质量有不利影响。对有生育要求的TM合并不育症患者,可考虑行体外受精(IVF)等方式使配偶受孕,防止TM进一步发展减少IVF成功的可能性。TM与睾丸恶性肿瘤的关系尚处于争论之中。TM没有有效的治疗方案,目前的方案仅限于其合并症如不育症的治疗和随访策略上,建议有危险因素的TM患者进行1年1次的彩超随访,其中剪切波弹性成像是灰阶超声的重要补充。本文作者对近年有关TM研究的文献报道作一综述。

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