论文部分内容阅读
目的对中山地区男性不育患者的精液进行常规分析,了解中山地区男性不育患者精液质量的现状。方法按照《世界卫生组织人类精液检查与处理实验室手册》(第5版)的标准,应用西班牙人类精液分析微机辅助智能系统(CASA)对2012年10月~2013年6月来中山市博爱医院生殖中心就诊的2224例不育男性患者的精液进行常规检测和采用改良巴氏染色法分析精子正常形态率。结果 2224例不育男性精液中正常者1113例(31.61%),异常者1521例(68.39%),其中液化异常964例(43.35%),pH值异常124例(5.58%),精子总数异常1002例(45.05%),精子浓度异常556例(25.0%),精子存活率异常1031例(46.36%),精子总活力(PR+NP)异常1208例(54.31%),无精子症372例(16.72%),精子正常形态率异常1021例(45.91%)。结论精子总活力、存活率下降,精子总数减少,精子正常形态率下降和精液液化不良是引起中山地区男性患者不育的主要原因,临床上应加于重视。
Objective To analyze the prevalence of sperm in male infertility patients in Zhongshan area and to find out the status of sperm quality in male infertility patients in Zhongshan area. Methods According to the WHO Human Semen Test and Processing Laboratory Manual (5th Edition), the Spanish human semen analysis computer-assisted intelligence system (CASA) The sperm of 2224 infertile male patients treated at the reproductive center were routinely tested and normal sperm morphology was analyzed using modified Papanicolaou staining. Results Among the 2224 infertile men, 1113 (31.61%) were normal and 1521 (68.39%) were abnormal, of which 964 (43.35%) were abnormal liquefaction, 124 (5.58%) were abnormal in pH, and 1002 (45.05%), 556 cases (25.0%) with abnormal sperm concentration, 1031 cases (46.36%) with abnormal sperm motility, 1208 cases (54.31%) with abnormal sperm motility (PR + NP) %), Abnormal sperm morphology of 1021 cases (45.91%). Conclusions The total motility of sperm, the decrease of the survival rate, the decrease of the total number of sperm, the decrease of the normal sperm morphology and the poor liquefaction of sperm are the main causes of male infertility in Zhongshan area.