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目的:评价患者施行睾丸固定手术时的年龄对其后精子参数的可能影响。方法:47例单侧隐睾史不育患者,按照患者施行单侧睾丸固定术时的年龄分为A组(2-7岁,n=23),B组(8-13岁,n=14)和C组(14-17岁,n=10)。对3组患者的精液作精液分析和精子头-尾膜的完整性检测。结果:3组患者的精液中均可观察到活动精子,精子活动率和精子浓度有很大的个体差异,畸形精子率普遍较高,精子头-尾膜完整率低。少弱畸精子症的发生率在B组(35%)和C组(50%)升高。结论:单侧隐睾史不育患者会有较差的精子参数。单侧隐睾症患者在幼年阶段尽早治疗有利于成年后的精子发生。
PURPOSE: To evaluate the possible influence of age at the time of testicular fixation on subsequent sperm parameters. Methods: Forty-seven patients with unilateral cryptorchidism were divided into group A (2-7 years old, n = 23), group B (8-13 years old, n = 14) according to the age of unilateral testicular fixation. ) And group C (14-17 years old, n = 10). Semen analysis was performed on semen from 3 groups of patients and sperm-head membrane integrity was tested. Results: There were significant differences in sperm motility and sperm concentration between the three groups of patients. The rate of abnormal sperm was high, and the rate of sperm head-tail membrane integrity was low. The incidence of oligoasthenospermia increased in group B (35%) and group C (50%). Conclusion: Patients with unilateral cryptorchidism may have poor sperm parameters. Unilateral cryptorchidism in early childhood treatment is beneficial to adult spermatogenesis.