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甲状腺功能减退症时睾丸的弹性成像及形态学变化——一项实验研究

Elastographic and Morphological Testicular Changes in Hypothyroidism - An Experimental Study.

作者信息

Gołyński Marcin, Dębiak Piotr, Gołyńska Magdalena, Myśliwiec Ewa, Szkodziak Piotr, Kalisz Grzegorz, Śmiech Anna, Lutnicki Krzysztof, Szczepanik Marcin

机构信息

Department and Clinic of Animal Internal Diseases, Lublin, Poland.

Laboratory of Radiology and Ultrasonography, Department and Clinic of Animal Surgery, Faculty of Veterinary Medicine, University of Life Sciences, 20-612 Lublin, Poland.

出版信息

J Vet Res. 2018 Dec 10;62(3):347-352. doi: 10.2478/jvetres-2018-0049. eCollection 2018 Sep.

Abstract

INTRODUCTION

Methimazole-induced hypothyroidism is a clinical problem in the treatment of hyperthyroidism in people and animals and is an example of metabolic disease that can lead to fertility disorders and can give elastographic testicular changes.

MATERIAL AND METHODS

Ultrasound elastography using the Esaote MyLab Twice ultrasound system and a morphological examination of testes were performed in seven methimazole-administered (group E) and seven healthy rats (group C).

RESULTS

The elasticity ratio of strains in the scrotal wall of the near-field test area to testicular tissue (ELX-T-RAT) and hardness percentage of strained tissues in the defined area of a testicle (ELX-T%HRD) in group E were statistically significantly lower than in group C. The degree of spermatogenesis was statistically significantly higher in group E than in group C and similarly seminiferous tubule diameters in group E were statistically significantly higher than in group C. Body weight and testicular weight in group E were statistically significantly lower than in group C.

CONCLUSION

Changes in the elastographical parameters of testes may result from disorders secondary to hypothyroidism. The usefulness of elastography is noteworthy in the case of evaluation of testis function in patients with some metabolic disorders.

摘要

引言

甲巯咪唑诱发的甲状腺功能减退是人和动物甲状腺功能亢进治疗中的一个临床问题,是一种可导致生育障碍并能引起睾丸弹性成像改变的代谢性疾病的实例。

材料与方法

使用百胜MyLab Twice超声系统对7只给予甲巯咪唑的大鼠(E组)和7只健康大鼠(C组)进行睾丸超声弹性成像及形态学检查。

结果

E组近场检测区域阴囊壁与睾丸组织的应变弹性比值(ELX-T-RAT)以及睾丸特定区域应变组织的硬度百分比(ELX-T%HRD)在统计学上显著低于C组。E组的精子发生程度在统计学上显著高于C组,同样,E组的生精小管直径在统计学上也显著高于C组。E组的体重和睾丸重量在统计学上显著低于C组。

结论

睾丸弹性成像参数的变化可能源于甲状腺功能减退继发的紊乱。在评估某些代谢紊乱患者的睾丸功能时,弹性成像的实用性值得关注。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a79a/6296000/41beb973d4ff/jvetres-62-347-g001.jpg

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