减肥手术并不能改善精液质量：一项荟萃分析的证据。
Bariatric Surgery Does Not Improve Semen Quality: Evidence from a Meta-analysis.
作者信息
Gao Zhiguang, Liang Yuzhi, Yang Sen, Zhang Tao, Gong Zuyuan, Li Min, Yang Jingge
机构信息
Department of Gastrointestinal Surgery, the affiliated Dongguan Shilong People's Hospital of Southern Medical University, Dongguan, 523320, China.
Department of Medical Imaging, the affiliated Dongguan Shilong People's Hospital of Southern Medical University, Dongguan, 523320, China.
出版信息
Obes Surg. 2022 Apr;32(4):1341-1350. doi: 10.1007/s11695-022-05901-8. Epub 2022 Feb 10.
The meta-analysis aimed to explore the possible relationship between bariatric surgery and semen quality. PubMed, EMBASE, and CENTRAL were searched from database inception through October 28, 2021. Articles were eligible for inclusion if they evaluated the impact pre- and post-bariatric surgery on semen parameters. A total of 9 studies with 218 patients were found. The mean preoperative age distribution of the patients included centralized from 18 to 50 years, and the mean pre-op BMI ranged from 36.7 to 70.5 kg/m. The follow-up period ranged from 6 to 24 months. The results revealed that bariatric surgery had no significant effect on sperm volume, concentration, total count, morphology, total motility, progressive motility, viability, semen pH, and semen leukocytes. Bariatric surgery does not improve semen quality in obese males.
这项荟萃分析旨在探讨减肥手术与精液质量之间可能存在的关系。从数据库建立至2021年10月28日，对PubMed、EMBASE和CENTRAL进行了检索。如果文章评估了减肥手术前后对精液参数的影响，则符合纳入标准。共找到9项研究，涉及218名患者。纳入患者的术前平均年龄集中在18至50岁，术前平均体重指数范围为36.7至70.5kg/m²。随访期为6至24个月。结果显示，减肥手术对精子体积、浓度、总数、形态、总活力、前向运动力、存活率、精液pH值和精液白细胞没有显著影响。减肥手术并不能改善肥胖男性的精液质量。
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