不育指南.doc

不育 A. Jungwirth, T. Diemer, G.R. Dohle, A. Giwercman, Z. Kopa, C. Krausz, H. Tournaye 1. METHODOLOGY方法学 1.1 Introduction前言 The European Association of Urology (EAU) Guideline Panel on Male Infertility has prepared these guidelines to assist urologists and healthcare professionals from related specialities in the treatment of male infertility. Urologists are usually the specialists who are initially responsible for assessing the male partner when male infertility is suspected. However, infertility can be a multifactorial condition requiring multidisciplinary involvement. The Male Infertility Guidelines Panel consists of urologists and endocrinologists with special training in andrology and experience in the diagnosis and treatment of male infertility. 欧洲泌尿科学会男性不育指南专家小组为了帮助与男性不育治疗相关的泌尿科医生和医疗保健专家，已经制定了男性不育指南。通常泌尿科专家对怀疑有男性不育的患者进行初步评估。然而，多种因素能够引起不育，不育需要涉及多种学科。男性不育指南专家小组由男科和男性不育症诊治方面训练有素的泌尿科和内分泌专家组成。 1.2 Data identification数据识别 The recommendations provided in the current guidelines are based on a systemic literature search performed by the panel members. MedLine, Embase, and Cochrane databases were searched to identify original and review articles. The controlled vocabulary of the Medical Subject Headings (MeSH) database was used alongside a ‘free-text’ protocol, combining ‘male infertility’ with the terms ‘diagnosis’, ‘epidemiology’,‘investigations’, ‘treatment’, ‘spermatogenic failure’, ‘genetic abnormalities’, ‘obstruction’, ‘hypogonadism’,‘varicocele’, ‘cryptorchidism’, ‘testicular cancer’, ‘male accessory附属的gland infection’, ‘idiopathic’, ‘contraception’,‘ejaculatory dysfunction’ and ‘cryopreservation’ . 目前指南提供的推荐是以专家小组成员搜索到的系统文献为基础，共搜索了MedLine、 Embase和 Cochrane数据库，进行初步鉴别并回顾文献。通过免费文献协议使用医学主题词表(MeSH)数据库的受控词表，用以下词汇和男性不育（male infertility）一起作为关键词：诊断（diagnosis）、流行病学（epidemiology）、检查（investigations）、治疗（treatment）、精子发生障碍（spermatogenic failure）、遗传异常（genetic abnormalities）、梗阻(obstruction)、性腺功能减退症(hypogonadism)、精索静脉曲张(varicocele)、隐睾症(cryptorchidism)、睾丸癌(testicular cancer)、男性