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首页> 外文期刊>The Journal of Urology >Cryptorchidism Concordance in Monozygotic and Dizygotic Twin Brothers, Full Brothers, and Half-Brothers
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Cryptorchidism Concordance in Monozygotic and Dizygotic Twin Brothers, Full Brothers, and Half-Brothers

机译:单卵和双卵双胞胎兄弟,全兄弟和同父异母兄弟中的隐睾症一致性

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Objective: To study concordance rates of cryptorchidism (undescended testis) in pairs of boys with varying family structure, to evaluate the risk contribution from the intrauterine environment and genetic factors. Design: Population based study of 1,024,500 Danish boys born from January 1, 1973 to December 31, 2004. Classic twin method and computerized square dance design. Setting: Hospitals and outpatient clinics. Patient(s): Six groups of boy pairs: boys with no relation, paternal half-brothers, maternal half-brothers, full brothers, dizygotic twin brothers, and monozygotic twin brothers. Intervention(s): Observational study. Main Outcome Measure(s): Status on each individual regarding cryptorchidism and orchiopexy from the Danish National Patient Register. Result(s): Concordance rates of cryptorchidism in the groups were as follows: boys with no relation 3.2% (95% confidence interval 2.7%-3.6%), paternal half-brothers 3.4% (2.3%-4.7%), maternal half-brothers 6.0% (4.5%-7.7%), full brothers 8.8% (8.3%-9.8%), dizygotic twin brothers 24.1% (16.0%-33.6%), and monozygotic twin brothers 27.3% (15.5%-41.2%). Conclusion(s): The concordance rate was higher in maternal than in paternal half-brothers, and much higher but of equal magnitude in both twin groups. The findings strongly support that the intrauterine environment and maternal inheritance are contributing to the occurrence of cryptorchidism.
机译:目的:研究不同家庭结构的成对男孩中隐睾症(睾丸未降序)的符合率,评估宫内环境和遗传因素对风险的贡献。设计:基于人口的研究,研究了1973年1月1日至2004年12月31日出生的1,024,500名丹麦男孩。经典的双胞胎方法和计算机化的广场舞设计。地点:医院和门诊诊所。患者:六对男孩对:没有亲戚的男孩,父亲的同父异母兄弟,母亲的同父异母兄弟,全兄弟,同卵双生兄弟和同卵双生兄弟。干预措施:观察性研究。主要观察指标:丹麦国家患者登记簿上每个患者隐睾症和睾丸异位症的状况。结果:各组隐睾症的符合率如下:无亲属的男孩3.2%(95%置信区间2.7%-3.6%),父亲的同父异母兄弟3.4%(2.3%-4.7%),母亲的一半-兄弟6.0%(4.5%-7.7%),全兄弟8.8%(8.3%-9.8%),同卵双生兄弟24.1%(16.0%-33.6%)和同卵双生兄弟27.3%(15.5%-41.2%) 。结论:孕产妇的一致率高于同父异母的兄弟,两个双胞胎组的一致性较高。这些发现强烈支持子宫内环境和母体遗传是隐睾症的发生原因。

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