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采用Papanicolaou染色、免疫荧光和电镜技术对13例生育者、13例不明原因不育者和8例精液脲原体阳性不育者的精液非精子细胞(NSC)进行分析,发现生育组NSC占精液细胞总数的1.88%,其中未成熟生精细胞(IG)占NSC的83.4%,白细胞9.1%,脱落上皮细胞6.3%,支持细胞1.2%。IG中包括无核胞浆体50.4%,初级精母细胞10.1%,次级精母细胞2.9%,早期精子细胞6.8%,晚期精子细胞13.2%。白细胞中多形核细胞5.4%,巨噬细胞2.6%,淋巴细胞1.1%。淋巴细胞中以CD3和CD8阳性细胞为主,CD3/IgG阳性细胞比为16.5;CD8/CD4细胞比为3.6。两组不育者中,NSC总数和除支持细胞外各组分均增加,其中淋巴细胞总数和CD4细胞增加最显著,CD8/CD4比降为0.35,两不育组间无显著差异。正常精液中CD8细胞优势可能有利于免疫抑制作用。
Papanicolaou staining, immunofluorescence and electron microscopy of 13 cases of fertility, 13 cases of unexplained infertility and 8 cases of infertility were positive sperm non-sperm cells (NSC) were analyzed and found that fertility group NSC accounted for semen The total number of cells was 1.88%, of which immature spermatogenic cells (IG) accounted for 83.4% of NSC, white blood cells 9.1%, shedding epithelial cells 6.3%, supporting cells 1.2%. IG includes 50.4% of nucleus apheresis, 10.1% of primary spermatocytes, 2.9% of secondary spermatocytes, 6.8% of early spermatozoa, and 13.2% of late spermatozoa. 5.4% of polymorphonuclear leukocytes, 2.6% of macrophages, and 1.1% of lymphocytes. The predominant lymphocytes were CD3 and CD8 positive cells, with a CD3 / IgG positive cell ratio of 16.5 and a CD8 / CD4 cell ratio of 3.6. In both infertile groups, the total number of NSCs and the components except the supportive cells increased. The total number of lymphocytes and the increase of CD4 cells were the most significant. The ratio of CD8 / CD4 was 0.35. There was no significant difference between the two groups. The advantages of CD8 cells in normal semen may be beneficial to immunosuppression.